Organization · NPI-2

Mobile Practice Group LLC

Internal Medicine · Cedar Hill, TX

NPI number1235450339
StatusActive
Last updated in NPPESSep 10, 2012

Details

NPI
1235450339
Entity type
Organization (NPI-2)
Legal business name
Mobile Practice Group LLC
Organization subpart
No
Enumeration date
Jun 13, 2010
Last updated
Sep 10, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine––Yes
367A00000X Advanced Practice MidwifePA04612TX

Other names

  • Jennifer Bailey Jones Mbr (Doing Business As)

Practice location

200 Bryan Pl
Cedar Hill, TX 75104

Phone 972-299-0003 · Fax 972-299-0004

Mailing address

200 Bryan Pl
Cedar Hill, TX 75104

Phone 972-299-0003 · Fax 972-299-0004

Authorized official

Cecil C Bailey
Owner
9722990003

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