Midlothian Family Medicine Clinic

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

H6210 Issued in TX

Legal business name

MIDLOTHIAN FAMILY MEDICINE CLINIC

Practice address

200 Silken Xing
Suite 201
Midlothian, TX 76065-5586

Phone

(972) 723-1185

Fax

(972) 723-4003

NPI assigned

Sep 5, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Bob Kelly Felty, MD

Title

Owner

Phone

(972) 723-1185

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104928431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 SILKEN CROSSING",
            "address_2": "SUITE 201",
            "city": "MIDLOTHIAN",
            "state": "TX",
            "postal_code": "76065",
            "telephone_number": "972-723-1185",
            "fax_number": "972-723-4003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 SILKEN XING",
            "address_2": "SUITE 201",
            "city": "MIDLOTHIAN",
            "state": "TX",
            "postal_code": "760655586",
            "telephone_number": "972-723-1185",
            "fax_number": "972-723-4003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDLOTHIAN FAMILY MEDICINE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FELTY",
        "authorized_official_first_name": "BOB",
        "authorized_official_middle_name": "KELLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-723-1185",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H6210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Midlothian, TX
• Providers in Midlothian, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.