Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Mount Moriah Family Medicine, PLLC

Organization Family Medicine Physician · NPI 1639487440

Mount Moriah Family Medicine, PLLC provides Family Medicine Physician services in Midlothian, Texas. Licensed in Texas. Registered with an NPI since 2010.

Licensed in
TX
In the registry since
2010
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

151 Walton Way Ste 107
Midlothian, TX 76065-8010
Phone: (469) 672-2100
Fax: (469) 672-2101
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence N3814 (TX)

Record details

NPI number1639487440
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Elias Lara — Medical Director · (817) 368-4136
NPI enumeratedSeptember 15, 2010
Last updated in NPPESOctober 27, 2020
Certification dateOctober 27, 2020
Mailing address1312 Tanglewood Dr, Mansfield, TX 76063-7696

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