| Mobile Md Pa | |
|
4201 Medical Center Dr Ste 280 Mckinney TX 75069-1767 | |
| (972) 822-5973 | |
| (972) 704-2936 |
| Full Name | Mobile Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 4201 Medical Center Dr Ste 280, Mckinney, Texas |
| Authorized Official Name and Position | Jackie Gwyn Judd (MANAGER) |
| Authorized Official Contact | 9729758759 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mobile Md Pa 4201 Medical Center Dr Ste 280 Mckinney TX 75069-1767 Ph: (469) 975-8480 | Mobile Md Pa 4201 Medical Center Dr Ste 280 Mckinney TX 75069-1767 Ph: (972) 822-5973 |
| NPI Number | 1306933718 |
|---|---|
| Provider Enumeration Date | 10/06/2006 |
| Last Update Date | 01/19/2024 |
| Medicare PECOS PAC ID | 5395720882 |
|---|---|
| Medicare Enrollment ID | O20040621000031 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306933718 | NPI | - | NPPES |
| 169038002 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Andrew R Jeffreys |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164457024 PECOS PAC ID: 5991797201 Enrollment ID: I20040331000450 |
| Provider Name | Zahid N Zafar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043209075 PECOS PAC ID: 7911982418 Enrollment ID: I20040621000454 |
| Provider Name | Tamara Barsik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356320378 PECOS PAC ID: 2769372762 Enrollment ID: I20051129000972 |
| Provider Name | Qingwen E Lin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649260605 PECOS PAC ID: 3577633460 Enrollment ID: I20080604000258 |
| Provider Name | Tsedey Tadesse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164572392 PECOS PAC ID: 7810028891 Enrollment ID: I20100708000866 |
| Provider Name | Fouzia Junaid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144554932 PECOS PAC ID: 5799921359 Enrollment ID: I20130426000427 |
| Provider Name | Allison S Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508276551 PECOS PAC ID: 8123243862 Enrollment ID: I20140714000368 |
| Provider Name | Sunita Parajuli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598184962 PECOS PAC ID: 8820219033 Enrollment ID: I20141031000218 |
| Provider Name | Cherie O Ora |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972905131 PECOS PAC ID: 8628392388 Enrollment ID: I20150129000160 |
| Provider Name | Juliet Joseph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538554324 PECOS PAC ID: 0840505244 Enrollment ID: I20150813011569 |
| Provider Name | Eyoel T Abebe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992098719 PECOS PAC ID: 4183842792 Enrollment ID: I20151112002913 |
| Provider Name | Domitilla Akuforo Iwu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164527008 PECOS PAC ID: 2466543111 Enrollment ID: I20200818001143 |
| Provider Name | Minimol George |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609417997 PECOS PAC ID: 3173943040 Enrollment ID: I20201014001411 |
| Provider Name | Darian Iman Bradford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124794581 PECOS PAC ID: 8123410883 Enrollment ID: I20220110001735 |
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