MIDLOTHIAN PRIMARY CARE DOCTORS PLLC NPI 1083098214

NPI Information

  • NPI: 1083098214
  • Provider Name: MIDLOTHIAN PRIMARY CARE DOCTORS PLLC
  • Classification: Family Medicine - 207QA0505X
  • Specialization: Adult Medicine
  • Entity Type: Organization
  • CLIA Number: 45D1022210
  • Address: 221 REGENCY PARKWAY
    SUITE 125
    MANSFIELD, TX
    ZIP 76063
  • Phone: (817) 477-5884

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NPI Details

MIDLOTHIAN PRIMARY CARE DOCTORS PLLC is an adult medicine family medicine in Mansfield, TX. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. MIDLOTHIAN PRIMARY CARE DOCTORS PLLC NPI is 1083098214. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

221 REGENCY PARKWAY
SUITE 125
MANSFIELD, TX
ZIP 76063-000
Phone: (817) 477-5884

The provider's authorized official is Pannaben Nangha .
The authorized official title is Owner/provider and has the following contact phone number (871) 477-5884.

The CLIA number assigned to this NPI record is 45D1022210 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/17/2015 and was last updated on 11/23/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207QA0505XFamily MedicineAdult MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1451810MEDICARE PINTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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