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Contact Information

MOBILE MEDICAL HEALTH
44330 MERCURE CIR STE 240
SUITE 240
DULLES, VA20166
 Phone: 703-727-0523
 Fax:
 Website: https://mobilemedicalhealth.com/
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for MOBILE MEDICAL HEALTH

NPI # 1184294357
LBN Legal business name MOBILE MEDICAL HEALTH
Authorized official DOUG EUSTAQUIO - (PRACTICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/29/2021
Last updated 07/08/2021 - About 5 years ago
Identifiers
Other 12196770 CAQH
VA Other 1982640405 NPPES
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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