| Mansfield Medical Clinic | |
|
1720 E Broad St Mansfield TX 76063-3400 | |
| (817) 453-5912 | |
| (817) 453-2988 |
| Full Name | Mansfield Medical Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 1720 E Broad St, Mansfield, Texas |
| Authorized Official Name and Position | James Irvine (OWNER) |
| Authorized Official Contact | 8174535912 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mansfield Medical Clinic 1720 E Broad St Mansfield TX 76063-3400 Ph: () - | Mansfield Medical Clinic 1720 E Broad St Mansfield TX 76063-3400 Ph: (817) 453-5912 |
| NPI Number | 1407966815 |
|---|---|
| Provider Enumeration Date | 08/30/2006 |
| Last Update Date | 06/06/2008 |
| Medicare PECOS PAC ID | 2264465608 |
|---|---|
| Medicare Enrollment ID | O20050915000511 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407966815 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | J3502 (Texas) | Primary |
| Provider Name | Sharon M Irvine |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811915762 PECOS PAC ID: 1658320239 Enrollment ID: I20050120000976 |
| Provider Name | James N Irvine |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841219755 PECOS PAC ID: 5294768636 Enrollment ID: I20050919000495 |
| Provider Name | Rebecca G Bartmas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659734622 PECOS PAC ID: 5092006767 Enrollment ID: I20160628000961 |
| Provider Name | Moriah I Kerr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134549280 PECOS PAC ID: 0042571887 Enrollment ID: I20180219002155 |
| Provider Name | Shannon L Dezonia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558788117 PECOS PAC ID: 5799031332 Enrollment ID: I20180711003564 |
Elysian Eyecare Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1971 Highway 287 N Ste 105, Mansfield, TX 76063 Phone: 817-453-7591 Fax: 817-453-7715 | |
Tmc Mansfield, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1710 Highway 287 N Ste 300, Mansfield, TX 76063 Phone: 972-294-9666 | |
Livingspring Family Medical Center Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3807 E Broad St Ste 101, Mansfield, TX 76063 Phone: 817-717-9597 Fax: 833-992-1938 | |
Mansfield Group Health, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1601 E Debbie Ln Ste 1103, Mansfield, TX 76063 Phone: 281-429-8526 | |
Midlothian Primary Care Doctors Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 221 Regency Parkway, Suite 125, Mansfield, TX 76063 Phone: 817-477-5884 | |
Nexphase Healthcare Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2401 Callender Rd Ste 109, Mansfield, TX 76063 Phone: 817-500-7577 Fax: 817-617-2379 | |
Keith D Rigsby, Md, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4105 Greenwood Way, Mansfield, TX 76063 Phone: 214-334-2190 |