| Psmd Medical Group Pllc | |
|
3132 Matlock Rd Suite 311 Arlington TX 76015-2910 | |
| (817) 987-1414 | |
| (817) 987-1425 |
| Full Name | Psmd Medical Group Pllc |
|---|---|
| Speciality | Pediatrics |
| Location | 3132 Matlock Rd, Arlington, Texas |
| Authorized Official Name and Position | Durga Prasad Mekala (DIRECTOR) |
| Authorized Official Contact | 8179871414 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Psmd Medical Group Pllc 8912 Woodway Dr Irving TX 75063-4480 Ph: (817) 987-1414 | Psmd Medical Group Pllc 3132 Matlock Rd Suite 311 Arlington TX 76015-2910 Ph: (817) 987-1414 |
| NPI Number | 1144608191 |
|---|---|
| Provider Enumeration Date | 05/11/2015 |
| Last Update Date | 05/11/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144608191 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | N8039 (Texas) | Secondary |
| 208000000X | Pediatrics | P0385 (Texas) | Primary |
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