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

Kelsom Clinic PA

Organization Family Medicine Physician · NPI 1104840594

Kelsom Clinic PA is a Family Medicine Physician in Irving, Texas. Works from 2 locations. Licensed in Texas.

Licensed in
TX
In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1202 W Pioneer Dr Ste 100
Irving, TX 75061-7309
Phone: (972) 254-7272
Fax: (972) 254-7575
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3220 Gus Thomasson Rd Ste 113, Mesquite, TX 75150-4051 — (972) 279-7373

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence K2252 (TX)

Record details

NPI number1104840594
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationKelsom Clinic PA
Authorized official Catherine Okoronkwo — Md · (972) 254-7272
NPI enumeratedJuly 27, 2006
Last updated in NPPESJanuary 20, 2026
Certification dateJanuary 20, 2026
Mailing address1202 W Pioneer Dr, Suite 100, Irving, TX 75061-7308

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