PSMD Medical Group PLLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

P0385 Issued in TX

Legal business name

PSMD MEDICAL GROUP PLLC

Practice address

3132 Matlock Rd
Suite 311
Arlington, TX 76015-2910

Phone

(817) 987-1414

Fax

(817) 987-1425

NPI assigned

May 11, 2015

Organization subpart

No

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

Authorized official

Name

Durga Prasad Mekala, M.D

Title

Director

Phone

(817) 987-1414

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1431302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431302400000",
    "number": "1144608191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8912 WOODWAY DR",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750634480",
            "telephone_number": "817-987-1414",
            "fax_number": "817-987-1425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3132 MATLOCK RD",
            "address_2": "SUITE 311",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760152910",
            "telephone_number": "817-987-1414",
            "fax_number": "817-987-1425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSMD MEDICAL GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-11",
        "last_updated": "2015-05-11",
        "status": "A",
        "authorized_official_last_name": "MEKALA",
        "authorized_official_first_name": "DURGA",
        "authorized_official_middle_name": "PRASAD",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "817-987-1414",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "N8039",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "P0385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatrics Physician in Arlington, TX
• Providers in Arlington, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.