| Cp Middleton, Md Pa | |
|
2110 N Hill Dr Irving TX 75038-6219 | |
| (202) 258-5331 | |
| Not Available |
| Full Name | Cp Middleton, Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 2110 N Hill Dr, Irving, Texas |
| Authorized Official Name and Position | Carl P Middleton (CEO/FOUNDER) |
| Authorized Official Contact | 2022585331 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cp Middleton, Md Pa 2110 N Hill Dr Irving TX 75038-6219 Ph: (972) 255-5216 | Cp Middleton, Md Pa 2110 N Hill Dr Irving TX 75038-6219 Ph: (202) 258-5331 |
| NPI Number | 1124384300 |
|---|---|
| Provider Enumeration Date | 04/02/2012 |
| Last Update Date | 04/23/2012 |
| Medicare PECOS PAC ID | 7719141076 |
|---|---|
| Medicare Enrollment ID | O20120618000264 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124384300 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | N0978 (Texas) | Primary |
| Provider Name | Carl P Middleton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750566048 PECOS PAC ID: 8022178201 Enrollment ID: I20081118000317 |
| Provider Name | Naja M Thomas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588862452 PECOS PAC ID: 9830245422 Enrollment ID: I20131010001455 |
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