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Contact Information

MOBILE PRACTICE GROUP LLC
200 BRYAN PL
CEDAR HILL, TX75104
 Phone: 972-299-0003
 Fax: 972-299-0004
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Advanced Practice Midwife

367A00000X 42 Certified Nurse Midwife
Indicates primary specialty

NPI Profile & details for MOBILE PRACTICE GROUP LLC

NPI # 1235450339
LBN Legal business name MOBILE PRACTICE GROUP LLC
Authorized official CECIL BAILEY - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/13/2010
Last updated 09/10/2012 - About 14 years ago
Identifiers
TX License # PA04612
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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