| Broadway I-30 Medical Clinic, PLLC | |
|
407 W Interstate 30 Garland TX 75043-5912 | |
| (972) 240-8539 | |
| (972) 303-1994 |
| Full Name | Broadway I-30 Medical Clinic, PLLC |
|---|---|
| Speciality | Family Medicine |
| Location | 407 W Interstate 30, Garland, Texas |
| Authorized Official Name and Position | Carlton K Clarke (MEDICAL DIRECTOR-OWNER) |
| Authorized Official Contact | 2148034516 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Broadway I-30 Medical Clinic, PLLC 407 W Interstate 30 Garland TX 75043-5912 Ph: (972) 240-8539 | Broadway I-30 Medical Clinic, PLLC 407 W Interstate 30 Garland TX 75043-5912 Ph: (972) 240-8539 |
| NPI Number | 1992157697 |
|---|---|
| Provider Enumeration Date | 07/06/2016 |
| Last Update Date | 07/06/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992157697 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | F0154 (Texas) | Primary |
| 207V00000X | Obstetrics & Gynecology | L4890 (Texas) | Secondary |
M Kathryn Hood MD Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3641 Broadway Blvd, Suite 200, Garland, TX 75043 Phone: 972-675-3800 |
Broadway Elite Medical Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3200 Broadway Blvd Ste 180, Garland, TX 75043 Phone: 469-745-1952 Fax: 469-745-1953 |
Avery James LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6330 Broadway Blvd Ste C, Garland, TX 75043 Phone: 214-728-2211 |
Raypha Urgent Care & Clinics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3334 Broadway Blvd, 422, Garland, TX 75043 Phone: 972-271-1156 Fax: 972-271-1691 |
Dlnp LLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6309 N President George Bush Hwy Apt 9202, Garland, TX 75044 Phone: 972-697-5954 |
Vijaya Nama MD PA Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 407 W Interstate 30, Garland, TX 75043 Phone: 972-303-3000 Fax: 972-303-3003 |