Mobile Md Pa

LBN: Mobile Md Pa
Mobile Md Pa is an health care organization with primary practice located at 4201 Medical Center Dr Ste 280 , Mckinney TX 75069-1767. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Mobile Md Pa can be contacted via phone (972) 822-5973, or through Judd, Jackie Gwyn via phone (972) 975-8759.

Contact Information

Primary practice address
4201 Medical Center Dr Ste 280 Mckinney TX 75069-1767
Phone: (972) 822-5973
Fax: (972) 704-2936
Website:
Map and Directions
Authorized official contact:
Name: Judd, Jackie Gwyn
Phone: (972) 975-8759

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1306933718
LBN Legal business name Mobile Md Pa
DBA Doing business as
Authorized official Judd, Jackie Gwyn
Entity Organization
Organization subpart 1 No
Enumeration date Oct 6th, 2006
Last updated Jan 19th, 2024 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306933718 NPPES
Texas MEDICAID 169038002

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