Matlock Family Clinic, P.a.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

MATLOCK FAMILY CLINIC, P.A.

Practice address

4045 E Belknap St
#12
Haltom City, TX 76111-6638

Phone

(817) 759-2315

Fax

(817) 759-2316

NPI assigned

Nov 7, 2007

Organization subpart

Yes

Parent organization

MATLOCK FAMILY CLINICAs reported in NPPES

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

Authorized official

Name

Mrs. Mai V.Q Hoang, M.D.

Title

Doctor

Phone

(817) 759-2315

Specialties & licenses 1

Addresses

Tax ID family

Matlock Family Clinic PA2 organizations share this tax ID, including this one

Part of

Matlock Family Clinic PA

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Matlock Family Clinic, P.a.

  • Family Medicine Physician
  • Arlington, TX
  • NPI 1740248657
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hung T Dang, M.D.

  • Family Medicine Physician
  • Arlington, TX
  • NPI 1376541656
  NPD (past)

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

{
    "created_epoch": "1194393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194393600000",
    "number": "1710167713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4045 E BELKNAP ST",
            "address_2": "#12",
            "city": "HALTOM CITY",
            "state": "TX",
            "postal_code": "761116638",
            "telephone_number": "817-759-2315",
            "fax_number": "817-759-2316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4045 E BELKNAP ST",
            "address_2": "#12",
            "city": "HALTOM CITY",
            "state": "TX",
            "postal_code": "761116638",
            "telephone_number": "817-759-2315",
            "fax_number": "817-759-2316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATLOCK FAMILY CLINIC, P.A.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MATLOCK FAMILY CLINIC",
        "enumeration_date": "2007-11-07",
        "last_updated": "2007-11-07",
        "status": "A",
        "authorized_official_last_name": "HOANG",
        "authorized_official_first_name": "MAI",
        "authorized_official_middle_name": "V.Q",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "817-759-2315",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelly Dionne Lowry, RN
• Lumanda PA
• Lumanda, PA
• M.a.N. Chiropractic, PC
• Madeline Ann Maas
• Matthew Le DDS & Associates PLLC
• Kathaleen Ellen May, L.M. C.P.M.
• John Mbepo, PHARMD
• Travis Lawford McCauley, PHARM.D.
• Victoria McIntosh

• Primary Care Clinic/Center in Haltom City, TX
• Providers in Haltom City, TX by specialty
• Primary Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2007; 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.