IBERIA MEDICAL CLINIC, P.A.
NPI 1043331812
Family Medicine in Fort Worth, TX

Active since April 02, 2007
546 W SEMINARY DR STE A, FORT WORTH, TX 76115(817) 924-7978 Get Directions Write a Review

NPPES record last updated: April 9, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 9, 2025, Mar 9, 2022, Aug 22, 2020 (3 updates tracked since 2020).

About Iberia Medical Clinic, P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IBERIA MEDICAL CLINIC, P.A. (NPI 1043331812), doing business as Southside Medical Clinic, is a healthcare organization registered as a family medicine in Fort Worth, Texas and active in the NPI registry since April 2007. The organization lists Pamela E Thomson, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1043331812
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameIBERIA MEDICAL CLINIC, P.A.
Location Address546 W SEMINARY DR STE AFort Worth, TX 76115-1361
Mailing Address546 W Seminary Dr Ste AFort Worth, TX 76115-1361 · (817) 924-7978
Organization SubpartNo
Authorized OfficialPamela E ThomsonCredentialing Manager · (817) 744-7524
Enumeration DateApril 2, 2007
Last NPPES UpdateApril 9, 20253 updates tracked since enumeration
NPPES CertifiedApril 9, 2025
NPI 1043331812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedPhysician AssistantTaxonomy 363A00000X
546 W SEMINARY DR STE A, Fort Worth, TX 76115

Other Names 1

Doing Business AsSouthside Medical Clinic

Other Identifiers 2

Medicaid4172611-01TX
Medicaid4172611-02TX

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
546 W SEMINARY DR STE A
FORT WORTH, TX 76115
Physician Assistant
546 W SEMINARY DR STE A
FORT WORTH, TX 76115
Family Medicine
546 W SEMINARY DR STE A
FORT WORTH, TX 76115

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Iberia Medical Clinic, P.A.'s NPI number?

The NPI number for Iberia Medical Clinic, P.A. is 1043331812. It was assigned to this organization in the NPPES registry on April 2, 2007. The provider is doing business as Southside Medical Clinic.

Where is Iberia Medical Clinic, P.A. located?

Iberia Medical Clinic, P.A. is located at 546 W Seminary Dr Ste A, Fort Worth, TX 76115. The listed phone number is (817) 924-7978.

What is Iberia Medical Clinic, P.A.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

What insurance does Iberia Medical Clinic, P.A. accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Iberia Medical Clinic, P.A. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Iberia Medical Clinic, P.A. was last updated on April 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.