| North Country Family Practice, Pa | |
|
1050 E. Hwy. 114 Suite 100 Southlake TX 76092-5242 | |
| (817) 329-8364 | |
| (817) 329-1285 |
| Full Name | North Country Family Practice, Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 1050 E. Hwy. 114, Southlake, Texas |
| Authorized Official Name and Position | Michael W Dotti (MEDICAL DIRECTOR) |
| Authorized Official Contact | 8173298364 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Country Family Practice, Pa 1050 E. Hwy. 114 Suite 100 Southlake TX 76092-5242 Ph: (817) 329-8364 | North Country Family Practice, Pa 1050 E. Hwy. 114 Suite 100 Southlake TX 76092-5242 Ph: (817) 329-8364 |
| NPI Number | 1790976934 |
|---|---|
| Provider Enumeration Date | 08/05/2007 |
| Last Update Date | 02/17/2010 |
| Medicare PECOS PAC ID | 0446225270 |
|---|---|
| Medicare Enrollment ID | O20040826000575 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790976934 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Texas) | Primary |
| Provider Name | Nathan M Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083845747 PECOS PAC ID: 8224183827 Enrollment ID: I20090903000312 |
| Provider Name | William N Drake |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104889641 PECOS PAC ID: 4082744735 Enrollment ID: I20100608000037 |
| Provider Name | Kalan Nicole Bobbitt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699923078 PECOS PAC ID: 4385812635 Enrollment ID: I20110713000070 |
| Provider Name | Marshall Robert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538101605 PECOS PAC ID: 8527979731 Enrollment ID: I20120606000100 |
| Provider Name | David Mark Wilson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326468901 PECOS PAC ID: 9234401076 Enrollment ID: I20170815000441 |
Mediclink Management Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 415 E Southlake Blvd Ste 100, Southlake, TX 76092 Phone: 817-506-4132 | |
Southlake Hospitalists Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1321 Bay Meadows Dr, Southlake, TX 76092 Phone: 817-521-4747 Fax: 214-279-9273 | |
Global Anesthesia Specialists, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 470 E State Highway 114, Southlake, TX 76092 Phone: 214-450-9926 | |
Hospital Medicine Consultants Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2009 Woodbury Ct, Southlake, TX 76092 Phone: 972-352-0920 | |
Modern Medical House Calls Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 855 Davis Blvd Ste 500, Southlake, TX 76092 Phone: 817-912-1771 Fax: 940-241-6156 | |
Executive Medicine Of Texas Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2106 E State Highway 114, Ste 300, Southlake, TX 76092 Phone: 817-552-4300 | |
Melville Medicine, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1545 E Southlake Blvd Ste 110, Southlake, TX 76092 Phone: 817-600-8725 |