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PSMD MEDICAL ASSOCIATES PA NPI 1962769646


NPI Information

NPI: 1962769646
Provider Name: PSMD MEDICAL ASSOCIATES PA
Classification: Family Medicine - 207QG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

CLIA Number: 45D2045804

Address:
3132 MATLOCK RD
SUITE 311
ARLINGTON, TX
ZIP 76015
Phone: (817) 987-1414
Get Directions

PSMD MEDICAL ASSOCIATES PA is a geriatric medicine family medicine in Arlington, TX. The provider is a family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. PSMD MEDICAL ASSOCIATES PA NPI is 1962769646. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3132 MATLOCK RD
SUITE 311
ARLINGTON, TX
ZIP 76015-910
Phone: (817) 987-1414
Fax: (817) 987-1425

The provider's authorized official is Durga P Mekala .
The authorized official title is Director and has the following contact phone number (817) 987-1414.

The CLIA number assigned to this NPI record is 45D2045804 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/18/2012 and was last updated on 4/2/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207QG0300XFamily MedicineGeriatric MedicineN8039TEXASYes

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: 4/28/2024

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