Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Iberia Medical Clinic, PA

Organization Family Medicine Physician · NPI 1043331812

Iberia Medical Clinic, PA is a Family Medicine Physician in Fort Worth, Texas. Registered with an NPI since 2007.

In the registry since
2007
Specialties on file
2
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

546 W Seminary Dr Ste A
Fort Worth, TX 76115-1361
Phone: (817) 924-7978
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1043331812
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Pamela Thomson — Credentialing Manager · (817) 744-7524
Other names Southside Medical Clinic; Southside Medical Clinic
NPI enumeratedApril 2, 2007
Last updated in NPPESApril 9, 2025
Certification dateApril 9, 2025
Mailing address546 W Seminary Dr Ste A, Fort Worth, TX 76115-1361

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