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TIMARRON FAMILY MEDICINE PA
NPI 1073727368
Family Medicine in Southlake, TX

Active since May 09, 2007CLIA 45D0955737 · Waiver
200 PECAN CRK, SOUTHLAKE, TX 76092(817) 481-4739(817) 481-5198 Get Directions Write a Review

NPPES record last updated: September 6, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Timarron Family Medicine Pa NPPES

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

TIMARRON FAMILY MEDICINE PA (NPI 1073727368) is a healthcare organization registered as a family medicine in Southlake, Texas and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through January 7, 2027 and lists Michelle Renee Barton, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1073727368
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameTIMARRON FAMILY MEDICINE PA
Location Address200 PECAN CRKSouthlake, TX 76092-6371
Mailing Address200 Pecan CrkSouthlake, TX 76092-6371 · (817) 481-4739 · Fax (817) 481-5198
Phone(817) 481-4739
Fax(817) 481-5198
Organization SubpartNo
Authorized OfficialMichelle Renee BartonPractice Manager · (817) 481-4739
Enumeration DateMay 9, 2007
Last NPPES UpdateSeptember 6, 2007
✔ NPI 1073727368 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · J4265
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.
200 PECAN CRK, Southlake, TX 76092
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Other Identifiers 1

Medicare ID-Type Unspecified00124NTX · Group Id

Group Practice 1

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D0955737

Timarron Family Medicine PA · Southlake, TX
Active · expires Jan 7, 2027
CLIA Number45D0955737
Laboratory TypePhysician Office
Certificate Effective DateJanuary 8, 2025
Certificate Expiration DateJanuary 7, 2027
Laboratory DirectorChristopher M. King
Laboratory Phone(817) 481-4739
Laboratory LocationTimarron Family Medicine PA200 Pecan Creek Drive, Southlake, TX 76092
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

MISS KYLIE ALEXANDRA CROUSE PA
Physician Assistant
200 PECAN CRK
SOUTHLAKE, TX 76092
Tarrant County (817) 481-4739
SUSAN DENISE MILLER D.C.
Chiropractor
200 PECAN CRK, SUITE 200
SOUTHLAKE, TX 76092
Tarrant County (817) 442-8554
CHRISTOPHER MURPHY KING MD
Family Medicine
200 PECAN CRK
SOUTHLAKE, TX 76092
Tarrant County (817) 481-4739
LORI MASSEY KING MD
Family Medicine
200 PECAN CRK
SOUTHLAKE, TX 76092
Tarrant County (817) 481-4739

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 Timarron Family Medicine PA's NPI number?

The NPI number for Timarron Family Medicine PA is 1073727368. It was assigned to this organization in the NPPES registry on May 9, 2007.

Where is Timarron Family Medicine PA located?

Timarron Family Medicine PA is located at 200 Pecan Crk, Southlake, TX 76092. The listed phone number is (817) 481-4739.

What is Timarron Family Medicine PA's specialty?

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

Does Timarron Family Medicine PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D0955737) is associated with this NPI, valid through January 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Timarron Family Medicine PA was last updated on September 6, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.