Iberia Medical Clinic, P.A.
NPI 1043331812 · Family Medicine Physician · Fort Worth, TX
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Iberia Medical Clinic, P.A. is a Family Medicine Physician organization in Fort Worth, TX (NPI 1043331812).
Provider details
- NPI number
- 1043331812
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Pamela Thomson, Credentialing Manager(817) 744-7524
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Southside Medical Clinic
- Doing business as
- Southside Medical Clinic
Registry dates
- Enumerated
- 2007-04-02
- Last updated
- 2025-04-09
- Certified
- 2025-04-09
Frequently asked questions
- What is Iberia Medical Clinic, P.A.'s NPI number?
- Iberia Medical Clinic, P.A.'s National Provider Identifier (NPI) is 1043331812, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Iberia Medical Clinic, P.A.?
- Iberia Medical Clinic, P.A. is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Iberia Medical Clinic, P.A. located?
- Iberia Medical Clinic, P.A.'s practice location on file with NPPES is 546 W Seminary Dr Ste a, Fort Worth, TX 76115-1361.
- What is Iberia Medical Clinic, P.A.'s phone number?
- The practice phone number listed in the NPPES registry for Iberia Medical Clinic, P.A. is (817) 924-7978.
- Does Iberia Medical Clinic, P.A. accept Medicare?
- Iberia Medical Clinic, P.A. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Iberia Medical Clinic, P.A.?
- The authorized official listed on Iberia Medical Clinic, P.A.'s NPPES record is Pamela Thomson, Credentialing Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Iberia Medical Clinic, P.A.'s NPI active?
- Yes — Iberia Medical Clinic, P.A.'s NPI (1043331812) is active in the NPPES registry as of the last update on 2025-04-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.