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: July 19, 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

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Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

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

The NPI number assigned to this healthcare provider is 1043331812, enumerated as an "organization" on April 02, 2007.

The provider is located at 546 W SEMINARY DR STE A FORT WORTH, TX 76115 and the phone number is (817) 924-7978.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Ambetter. Please consult your insurance carrier or call the provider to verify.