| |
3025 Matlock Rd Arlington TX 76015-2902 | |
(833) 696-2329 | |
(469) 802-1544 |
Full Name | |
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Speciality | Family Medicine |
Location | 3025 Matlock Rd, Arlington, Texas |
Authorized Official Name and Position | Timothy Mcauliff (DIRECTOR) |
Authorized Official Contact | 4699310684 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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3025 Matlock Rd Arlington TX 76015-2902 Ph: (469) 854-9493 | 3025 Matlock Rd Arlington TX 76015-2902 Ph: (833) 696-2329 |
NPI Number | 1366912735 |
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Provider Enumeration Date | 11/28/2018 |
Last Update Date | 09/17/2024 |
Medicare PECOS PAC ID | 3971844747 |
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Medicare Enrollment ID | O20200212002126 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366912735 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Timothy M Mcauliff |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1821320177 PECOS PAC ID: 4183852155 Enrollment ID: I20140121000867 |
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