| Maclin Family Medicine Pllc | |
|
1521 N Cooper St Ste 213 Arlington TX 76011-5522 | |
| (877) 288-7968 | |
| (754) 218-0975 |
| Full Name | Maclin Family Medicine Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 1521 N Cooper St Ste 213, Arlington, Texas |
| Authorized Official Name and Position | Rowena Maclin (PRESIDENT) |
| Authorized Official Contact | 8772887968 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Maclin Family Medicine Pllc 6800 Manhattan Blvd Bldg 1 Ste 101 Fort Worth TX 76120-1200 Ph: (817) 457-7200 | Maclin Family Medicine Pllc 1521 N Cooper St Ste 213 Arlington TX 76011-5522 Ph: (877) 288-7968 |
| NPI Number | 1124338785 |
|---|---|
| Provider Enumeration Date | 10/18/2010 |
| Last Update Date | 07/14/2022 |
| Medicare PECOS PAC ID | 2062699887 |
|---|---|
| Medicare Enrollment ID | O20110603000491 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124338785 | NPI | - | NPPES |
| 1316936941 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | L3738 (Texas) | Primary |
| Provider Name | Rowena J Maclin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316936941 PECOS PAC ID: 2668405481 Enrollment ID: I20050913000646 |
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