Cp Middleton, Md Pa | |
2110 N Hill Dr Irving TX 75038-6219 | |
(202) 258-5331 | |
Not Available |
Full Name | Cp Middleton, Md Pa |
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Speciality | Internal Medicine |
Location | 2110 N Hill Dr, Irving, Texas |
Authorized Official Name and Position | Carl P Middleton (CEO/FOUNDER) |
Authorized Official Contact | 2022585331 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Cp Middleton, Md Pa 2110 N Hill Dr Irving TX 75038-6219 Ph: (972) 255-5216 | Cp Middleton, Md Pa 2110 N Hill Dr Irving TX 75038-6219 Ph: (202) 258-5331 |
NPI Number | 1124384300 |
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Provider Enumeration Date | 04/02/2012 |
Last Update Date | 04/23/2012 |
Medicare PECOS PAC ID | 7719141076 |
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Medicare Enrollment ID | O20120618000264 |
Identifier | Type | State | Issuer |
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1124384300 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | N0978 (Texas) | Primary |
Provider Name | Carl P Middleton |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1750566048 PECOS PAC ID: 8022178201 Enrollment ID: I20081118000317 |
Provider Name | Naja M Thomas |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1588862452 PECOS PAC ID: 9830245422 Enrollment ID: I20131010001455 |
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