NPI age
13 years
Enumerated 2013-03-11
● Active Type 2 · Organization
Medpeds Medical Clinic, PA
Medpeds Medical Clinic, PA is 1 of 12343 internal medicine organizations in Texas.
Primary specialty
Internal Medicine
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Khan
Medical Director
Last NPPES update
2013-03-11
Source: monthly bulk 2026-05
How this organization compares
Across 12343 active internal medicine providers in Texas.
NPI age
13 years
↓ 4 yr below median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 33% of peers with subspecialties
NPI lifetime · 2013 → 2026
2013-03Enumerated in NPPES
2013
2026
Where they practice
Primary practice location
2111 Fort Worth Hwy
Weatherford, TX 760864834
Mailing address
Po Box 1479
Weatherford, TX 760861479
Authorized official
Nusrat A Khan, MD
Medical Director
📞 8175963700
Individual providers at this organization
4 individual providers on file at this primary practice address.
- Dalton Allen Family Medicine NPI 1154818821
- Denise Austin, FNP Nurse Practitioner NPI 1003446428
- Manila Bobba, PA-C Physician Assistant NPI 1144552431
- Lauryn Tam, PA-C Physician Assistant NPI 1386590362
Specialties
-
Internal Medicine PrimaryA physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer,...
-
PediatricsA pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 2176489-02 | |
| 05 (TX) | 2176489-01 |
Practice context
Multi-provider organization. 4 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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