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Organization

MATLOCK FAMILY CLINIC, P.A.

Active
Parent organization
MATLOCK FAMILY CLINIC
Organization subpart
Yes

Provider details

NPI number
Legal business name
MATLOCK FAMILY CLINIC
Authorized official
MRS. MAI V.Q HOANG M.D. (DOCTOR)
(817) 759-2315
Entity
Organization

Contact information

Practice address
4045 E BELKNAP ST, #12, HALTOM CITY, TX 76111-6638
(817) 759-2315
(817) 759-2316
Mailing address
4045 E BELKNAP ST, #12, HALTOM CITY, TX 76111-6638
(817) 759-2315
(817) 759-2316

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary

Other

Enumeration date
11/07/2007
Last updated
11/07/2007
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