| Full Name | |
|---|---|
| Speciality | Internal Medicine |
| Location | 236 Park Pl, Azle, Texas |
| Authorized Official Name and Position | Michael Kent Mcfarland (OWNER) |
| Authorized Official Contact | 8172703000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
236 Park Pl Azle TX 76020-3230 Ph: (817) 270-3000 | 236 Park Pl Azle TX 76020-3230 Ph: (817) 270-3000 |
| NPI Number | 1871704429 |
|---|---|
| Provider Enumeration Date | 05/25/2007 |
| Last Update Date | 12/15/2009 |
| Medicare PECOS PAC ID | 0244327302 |
|---|---|
| Medicare Enrollment ID | O20071106000586 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871704429 | NPI | - | NPPES |
| 188075902 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | L2460 (Texas) | Primary |
| Provider Name | Michael K Mcfarland |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881658714 PECOS PAC ID: 6406943562 Enrollment ID: I20071106000602 |
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