Organization · Type 2 NPI

Kelsom Clinic PA

Family Medicine Physician · Irving, TX

NPI number 1104840594 Active

Practice location

1202 W Pioneer Dr Ste 100
Irving, TX 75061-7309

Call (972) 254-7272 Map

Fax (972) 254-7575

Mailing address

1202 W Pioneer Dr, Suite 100
Irving, TX 75061-7308

Other practice locations

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

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	K2252 (TX)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

3 other providers at this address

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About NPI 1104840594

Kelsom Clinic PA's National Provider Identifier is 1104840594, issued on Jul 27, 2006. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Irving, TX. The record was last updated on Jan 20, 2026.