Delta Medical Clinic

LBN: Delta Medical Pa
Delta Medical Clinic is an health care organization with primary practice located at 12001 South Fwy Suite 210, Burleson TX 76028-7208. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Delta Medical Pa can be contacted via phone (817) 293-8797, or through Ekadi, Kofoworola via phone (817) 412-8769.

Contact Information

Primary practice address
12001 South Fwy Suite 210 Burleson TX 76028-7208
Phone: (817) 293-8797
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ekadi, Kofoworola Doctor of Medicine (MD)
Phone: (817) 412-8769

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X K9263 Texas

Profile Details

NPI number 1073550919
LBN Legal business name Delta Medical Pa
DBA Doing business as Delta Medical Clinic
Authorized official Ekadi, Kofoworola Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 31st, 2006
Last updated Apr 8th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1073550919 NPPES
Texas Other 00W561 MEDICARE
Texas Other P00053593 MEDICARE

Popular Providers