MIDLOTHIAN FAMILY MEDICINE CLINIC
NPI 1104928431
Family Medicine in Midlothian, TX

Active since September 05, 2006CLIA 45D1022210 · Waiver
200 SILKEN XING, SUITE 201, MIDLOTHIAN, TX 76065(972) 723-1185(972) 723-4003 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Midlothian Family Medicine Clinic NPPES

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

MIDLOTHIAN FAMILY MEDICINE CLINIC (NPI 1104928431) is a healthcare organization registered as a family medicine in Midlothian, Texas and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through February 9, 2028 and lists Bob Kelly Felty, Owner, as its authorized official.

NPPES Registry Identity

NPI1104928431
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMIDLOTHIAN FAMILY MEDICINE CLINIC
Location Address200 SILKEN XING, SUITE 201Midlothian, TX 76065-5586
Mailing Address200 Silken Crossing, Suite 201Midlothian, TX 76065 · (972) 723-1185 · Fax (972) 723-4003
Fax(972) 723-4003
Organization SubpartNo
Authorized OfficialBob Kelly FeltyOwner · (972) 723-1185
Enumeration DateSeptember 5, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1104928431 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 · H6210
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 SILKEN XING, Midlothian, TX 76065

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 45D1022210

Midlothian Family Medicine Clinic PA · Midlothian, TX
Active · expires Feb 9, 2028
CLIA Number45D1022210
Laboratory TypePhysician Office
Certificate Effective DateFebruary 10, 2026
Certificate Expiration DateFebruary 9, 2028
Laboratory DirectorBob K. Felty
Laboratory Phone(214) 733-8001
Laboratory LocationMidlothian Family Medicine Clinic PA200 Silken Crossing #201, Midlothian, TX 76065
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Family Medicine
200 SILKEN XING, SUITE 201
MIDLOTHIAN, TX 76065

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 Midlothian Family Medicine Clinic's NPI number?

The NPI number for Midlothian Family Medicine Clinic is 1104928431. It was assigned to this organization in the NPPES registry on September 5, 2006.

Where is Midlothian Family Medicine Clinic located?

Midlothian Family Medicine Clinic is located at 200 Silken Xing Suite 201, Midlothian, TX 76065. The listed phone number is (972) 723-1185.

What is Midlothian Family Medicine Clinic's specialty?

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

Does Midlothian Family Medicine Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D1022210) is associated with this NPI, valid through February 9, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Midlothian Family Medicine Clinic was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.