MATLOCK FAMILY CLINIC, P.A.
NPI 1740248657
Family Medicine in Arlington, TX
About Matlock Family Clinic, P.a. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MATLOCK FAMILY CLINIC, P.A. (NPI 1740248657) is a healthcare organization registered as a family medicine in Arlington, Texas and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through December 1, 2026 and lists Hung T Dang, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Matlock Family Clinic, P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Matlock Family Clinic, P.A., which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 45D1034418
Matlock Family Medical Clinic · Arlington, TXFrequently 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 Matlock Family Clinic, P.A.'s NPI number?
The NPI number for Matlock Family Clinic, P.A. is 1740248657. It was assigned to this organization in the NPPES registry on May 2, 2006.
Where is Matlock Family Clinic, P.A. located?
Matlock Family Clinic, P.A. is located at 3020 Matlock Rd Ste 200, Arlington, TX 76015. The listed phone number is (817) 468-5252.
What is Matlock Family Clinic, P.A.'s specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Matlock Family Clinic, P.A. enrolled in Medicare?
Yes. Matlock Family Clinic, P.A. is registered in the Medicare PECOS enrollment system.
When is Matlock Family Clinic, P.A.'s Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Texas, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Matlock Family Clinic, P.A.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Matlock Family Clinic, P.A.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Matlock Family Clinic, P.A. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 45D1034418) is associated with this NPI, valid through December 1, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Matlock Family Clinic, P.A. accept?
Health plans from Imperial Insurance Companies, Inc. list Matlock Family 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 Matlock Family Clinic, P.A. was last updated on December 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Matlock Family Clinic, P.a. · NPI 1740248657
Family Medicine organization in Arlington, Texas. Organization record, active in the CMS NPPES registry since May 2, 2006.
## Identity
- **NPI:** 1740248657 (Entity type: Organization)
- **Enumerated:** May 2, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Hung Dang, PRESIDENT
## Practice location
- **Address:** 3020 MATLOCK RD STE 200, Arlington, TX 76015-2901
- **Phone:** (817) 468-5252 · **Fax:** (817) 468-5257
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, Texas, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 12, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1740248657) · Data from the CMS NPPES public registry.