Provider Demographics
NPI:1942207824
Name:ARGYLE FAMILY MEDICINE, PA
Entity Type:Organization
Organization Name:ARGYLE FAMILY MEDICINE, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:ELISABETH
Authorized Official - Last Name:KING
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:940-464-7225
Mailing Address - Street 1:306 HIGHWAY 377 N
Mailing Address - Street 2:SUITE H
Mailing Address - City:ARGYLE
Mailing Address - State:TX
Mailing Address - Zip Code:76226-3958
Mailing Address - Country:US
Mailing Address - Phone:940-464-7225
Mailing Address - Fax:940-464-0018
Practice Address - Street 1:306 HIGHWAY 377 N
Practice Address - Street 2:SUITE H
Practice Address - City:ARGYLE
Practice Address - State:TX
Practice Address - Zip Code:76226-3958
Practice Address - Country:US
Practice Address - Phone:940-464-7225
Practice Address - Fax:940-464-0018
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-07
Last Update Date:2007-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL8770207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00388XMedicare PIN
G98388Medicare UPIN