Matlock Family Clinic, P.a. | |
3020 Matlock Rd 200 Arlington TX 76015-2901 | |
(817) 468-5252 | |
(817) 468-5257 |
Full Name | Matlock Family Clinic, P.a. |
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Speciality | Family Medicine |
Location | 3020 Matlock Rd, Arlington, Texas |
Authorized Official Name and Position | Hung T Dang (PRESIDENT) |
Authorized Official Contact | 8174685252 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Matlock Family Clinic, P.a. 3020 Matlock Rd 200 Arlington TX 76015-2901 Ph: (817) 468-5252 | Matlock Family Clinic, P.a. 3020 Matlock Rd 200 Arlington TX 76015-2901 Ph: (817) 468-5252 |
NPI Number | 1740248657 |
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Provider Enumeration Date | 05/02/2006 |
Last Update Date | 04/15/2015 |
Medicare PECOS PAC ID | 9830157833 |
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Medicare Enrollment ID | O20041222000144 |
Identifier | Type | State | Issuer |
---|---|---|---|
1740248657 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Hung T Dang |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1376541656 PECOS PAC ID: 7113813635 Enrollment ID: I20040223000935 |
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