PSMD Medical Associates PA

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

License

N8039 Issued in TX

Legal business name

PSMD MEDICAL ASSOCIATES PA

Practice address

3132 Matlock Rd
Suite 311
Arlington, TX 76015-2910

Phone

(817) 987-1414

Fax

(817) 987-1425

NPI assigned

Apr 18, 2012

Organization subpart

No

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

Authorized official

Name

Durga P Mekala

Title

Director

Phone

(817) 987-1414

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1334707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396396800000",
    "number": "1962769646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "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 ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-18",
        "last_updated": "2014-04-02",
        "status": "A",
        "authorized_official_last_name": "MEKALA",
        "authorized_official_first_name": "DURGA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "817-987-1414"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "TX",
            "license": "N8039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Geriatric Medicine (Family Medicine) Physician in Arlington, TX
• Providers in Arlington, TX by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2014; 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.