# MEDICAL CLINIC OF NORTH TEXAS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** USMD Physician Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184854309
- **Authorized official:** RICHARD C JOHNSTON MD (CEO/CPO)
- **Authorized official phone:** (214) 493-4015

## Contact information

- **Practice address:** 5450 CLEARFORK MAIN STREET, SUITE 410, FORT WORTH, TX 76019-3559
- **Practice address phone:** (817) 505-0233
- **Practice address fax:** (817) 332-3172
- **Mailing address:** 2801 GATEWAY DRIVE, SUITE 100, IRVING, TX 75063-2694
- **Mailing address phone:** (972) 847-0792
- **Mailing address fax:** (817) 419-4605

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 07/22/2009
- **Last updated:** 10/05/2018