Mobley, Constance Marie
Mobley, Constance Marie is an sole proprietor health care provider with primary practice located at 6445 Main Street Opc 22, Houston TX 77030. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Transplant Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Transplant Surgery is her primary health care specialty. Mobley, Constance Marie can be contacted via phone (713) 441-5451.Contact Information
Primary practice address
6445 Main Street Opc 22
Houston TX 77030
Phone: (713) 441-5451
Fax: (713) 791-5277
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Transplant Surgery | 204F00000X | A115469 | California |
Allopathic & Osteopathic Physicians / Surgery | 208600000X | A115469 | California |
Allopathic & Osteopathic Physicians / Transplant Surgery | 204F00000X | P9403 | Texas |
Profile Details
NPI number | 1932228848 |
---|---|
LBN Legal business name | Mobley, Constance Marie |
Credentials | M.D., PHD |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 29th, 2007 |
Last updated | Jan 16th, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1932228848 | NPPES |
California | MEDICAID | 0A1154690 | |
California | MEDICAID | 340202602 | |
California | MEDICAID | 340202601 | |
California | Other | 8EJ545 | |
California | Other | P01507451 |
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