| Psmd Medical Associates Pa | |
|
3132 Matlock Rd Suite 311 Arlington TX 76015-2910 | |
| (817) 987-1414 | |
| (817) 987-1425 |
| Full Name | Psmd Medical Associates Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 3132 Matlock Rd, Arlington, Texas |
| Authorized Official Name and Position | Durga P Mekala (DIRECTOR) |
| Authorized Official Contact | 8179871414 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psmd Medical Associates Pa 3132 Matlock Rd Suite 311 Arlington TX 76015-2910 Ph: (817) 987-1414 | Psmd Medical Associates Pa 3132 Matlock Rd Suite 311 Arlington TX 76015-2910 Ph: (817) 987-1414 |
| NPI Number | 1962769646 |
|---|---|
| Provider Enumeration Date | 04/18/2012 |
| Last Update Date | 04/02/2014 |
| Medicare PECOS PAC ID | 2668628553 |
|---|---|
| Medicare Enrollment ID | O20120808000696 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962769646 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | N8039 (Texas) | Primary |
| Provider Name | Durga Prasad Mekala |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235340290 PECOS PAC ID: 9931375334 Enrollment ID: I20120106000384 |
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