NPIMap

Organization Active NPI

Medprofessional Consult LLC

  • Internal Medicine Physician
  • Rockwall, TX
National Provider Identifier
1073159208
Registry record updated Jan 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MEDPROFESSIONAL CONSULT LLC
Practice address
5242 Medical Dr
Rockwall, TX 75032-5001
Phone
(972) 772-8700
NPI assigned
Nov 22, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Mariana Tawadrous, DO
Title
DO/Owner
Phone
(414) 793-5659

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

5242 Medical Dr
Rockwall, TX 75032-5001

Mailing address

1411 Riverside Oaks Dr
Rockwall, TX 75087-2425
Phone (414) 793-5659

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1574380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579219200000",
    "number": "1073159208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 RIVERSIDE OAKS DR",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750872425",
            "telephone_number": "414-793-5659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5242 MEDICAL DR",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750325001",
            "telephone_number": "972-772-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDPROFESSIONAL CONSULT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-22",
        "last_updated": "2020-01-17",
        "certification_date": "2020-01-17",
        "status": "A",
        "authorized_official_last_name": "TAWADROUS",
        "authorized_official_first_name": "MARIANA",
        "authorized_official_title_or_position": "DO/OWNER",
        "authorized_official_telephone_number": "414-793-5659",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockwall, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.