MATLOCK FAMILY CLINIC, P.A. (NPI# 1710167713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710167713 |
| Entity Type | Organization |
| Organization Name | MATLOCK FAMILY CLINIC, P.A. |
| Practice Address |
4045 E Belknap St #12 Haltom City TX 76111-6638 |
| Practice Telephone | 8177592315 |
| Practice Fax Number | 8177592316 |
| Mailing Telephone | 8177592315 |
| Mailing Fax Number | 8177592316 |
| Enumeration Date | 2007-11-07 |
| Last Update Date | 2007-11-07 |
| Authorized Official Name | MRS. MAI V.Q HOANG (DOCTOR) |
| Authorized Official Telephone | 8177592315 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | MATLOCK FAMILY CLINIC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740248657 | Matlock Family Clinic, P.a. | Family Medicine | 3020 Matlock Rd, 200, Arlington, TX 76015-2901 | 2006-05-02 |
| Street Address |
4045 E BELKNAP ST #12 |
| City | HALTOM CITY |
| State | TX |
| Zip Code | 76111-6638 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881663193 | Tuan H Nguyen | Family Medicine | 4045 E Belknap St, Suite 12, Haltom City, TX 76111-6638 | 2006-03-17 |
| 1205292638 | Methealth Pa | Family Medicine | 4045 E Belknap St, Suite #12, Haltom City, TX 76111-6638 | 2016-01-14 |
| 1801982335 | Mai V Hoang | Family Medicine | 4045 E Belknap St, #12, Haltom City, TX 76111-6638 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306330543 | True Rx LLC | Pharmacy | 4045 E Belknap St Ste 10, Haltom City, TX 76111 | 2018-06-20 |
| 1538656988 | Dc Dental Associates of Fort Worth Pllc | Dentist | 1114 North Beach Street, Fort Worth, TX 76111 | 2018-04-20 |
| 1417403262 | Shauna Woody | Specialist/Technologist | 1101 Yucca Ave, Fort Worth, TX 76111 | 2016-08-31 |
| 1285180018 | Eve Investments LLC | Non-emergency Medical Transport (VAN) | 3513 E Belknap St, Fort Worth, TX 76111 | 2016-08-31 |
| 1851773857 | Mini Apple Dental Enterprise Pllc | Dentist | 911 N Sylvania Ave, #150, Fort Worth, TX 76111 | 2015-06-25 |
| 1376953471 | Priya Vinothini Colluru | Dentist | 3913, Wheeler's Street, Fort Worth, TX 76111 | 2014-04-29 |
| 1669737912 | Trinity River Adult Daycare Center, Inc. | Clinic/Center | 401 N Riverside Dr, Fort Worth, TX 76111 | 2012-07-11 |
| 1649507708 | Vicki Van Mai | Pharmacist | 3809 E. Belknap St., Fort Worth, TX 76111 | 2009-11-11 |
| 1295972990 | Elite Healthcare Fort Worth | Clinic/Center | 112 N. Beach St., Fort Worth, TX 76111 | 2009-01-16 |
| 1124234885 | Psychotherapy Services & Yokefellows | Counselor | 159 N. Riverside Dr, Fort Worth, TX 76111 | 2007-05-16 |
| Find all providers in zip 76111 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609026475 | Lumanda Pa | Clinic/Center | 4010 E Belknap St, Haltom City, TX 76111-6609 | 2008-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194323568 | Synergenx Health - Webster LLC | Clinic/Center | 19325 Gulf Fwy Ste 120, Webster, TX 77598-2812 | 2020-10-16 |
| 1821696253 | Bio Drip, LLC | Clinic/Center | 935 Sunland Park Dr Ste 103, El Paso, TX 79922-1369 | 2020-10-16 |
| 1821696386 | Blue Ocean Health Services LLC | Clinic/Center | 105 Clariden Ranch Rd, Southlake, TX 76092-1947 | 2020-10-15 |
| 1982202800 | Devoted Medical Group of Texas, Inc. | Clinic/Center | 20405 State Highway 249 Ste 325, Houston, TX 77070-2893 | 2020-10-13 |
| 1891392437 | Blum Health Pllc | Clinic/Center | 1387 George Dieter Dr Ste 106d, El Paso, TX 79936-7410 | 2020-10-06 |
| 1902403769 | Apogee Health Promotions | Clinic/Center | 105 Cottage Rd # B, Carthage, TX 75633-1507 | 2020-10-05 |
| 1447857255 | Fairgrounds Family Clinic Pllc | Clinic/Center | 4505 Hummingbird Ln N, Harlingen, TX 78552-2422 | 2020-10-05 |
| 1508463605 | Kk Martinez & Associates LLC | Clinic/Center | 13180 Fm 529 Rd Ste A, Houston, TX 77041-2652 | 2020-10-02 |
| 1659987022 | Specialists In Geriatric and Palliative Care Medicine Pllc | Clinic/Center | 8198 Walnut Hill Lane, Jackson Bldg, Suite 100, Dallas, TX 75231 | 2020-09-21 |
| 1518573443 | Elizabeth Danielle Benavides | Clinic/Center | 1424 Tanager Ct, San Antonio, TX 78260-2455 | 2020-09-16 |
| Find all providers with the same taxonomy | ||||
| City | HALTOM CITY |
| Zip Code | 76111 |
Please comment or provide details below to improve the information on MATLOCK FAMILY CLINIC, P.A..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.