MEDICARE: MATLOCK FAMILY CLINIC, P.A.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1740248657
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MATLOCK FAMILY CLINIC, P.A.

Provider Business Mailing Address
First Line	:	3020 MATLOCK RD STE 200
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76015-2901
Country	:	US
Telephone Number	:	817-468-5252
Fax Number	:	817-468-5257

Provider Business Practice Location Address
First Line	:	3020 MATLOCK RD STE 200
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76015-2901
Country	:	US
Telephone Number	:	817-468-5252
Fax Number	:	817-468-5257

Authorized Official
Title or Position	:	PRESIDENT
Name	:	HUNG T DANG
Credential	:
Telephone Number	:	817-468-5252

Provider Enumeration Date	:	05/02/2006
Last Update Date	:	12/12/2025

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