NPI 1043331812
Iberia Medical Clinic, P.A.
Practice location
- Address
- 546 W Seminary Dr STE a, Fort Worth, TX 76115-1361
- Phone
- (817) 924-7978
Authorised official
- Name
- Pamela E Thomson
- Title
- Credentialing Manager
- Phone
- (817) 744-7524
Registered specialties (2)
Family Medicine Physician
Primary
Physician Assistant
Registry record
- NPI
- 1043331812
- Entity type
- Organization
- NPI issued
- 2 Apr 2007
- Record last updated
- 9 Apr 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.