Jamal Mubarak, M.D., PA

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

K6658 Issued in TX

Legal business name

JAMAL MUBARAK, M.D., PA

Practice address

209 N. Bonnie Brae Street
Suite 300
Denton, TX 76201-3708

Phone

(940) 382-5864

Fax

(940) 382-3939

NPI assigned

Jul 21, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jamal Mubarak, M.D.NPI 1003839747

Title

President

Phone

(940) 382-5864

Specialties & licenses 5

Addresses

Other identifiers 3

Other names 1

• Texas Lung Associates Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jamal Mubarak, M.D.

  • Pulmonary Disease Physician
  • Denton, TX
  • NPI 1003839747
  Medicare reassignment NPD Authorized official
• Jenny Elaine Bickerstaff, F.N.P.

  • Family Nurse Practitioner
  • Flower Mound, TX
  • NPI 1578681938
  NPD (past)

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242086400000",
    "number": "1235150681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 N BONNIE BRAE ST",
            "address_2": "SUITE 300",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762013708",
            "telephone_number": "940-382-5864",
            "fax_number": "940-382-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 N. BONNIE BRAE STREET",
            "address_2": "SUITE 300",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762013708",
            "telephone_number": "940-382-5864",
            "fax_number": "940-382-3939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMAL MUBARAK, M.D., PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2009-05-12",
        "status": "A",
        "authorized_official_last_name": "MUBARAK",
        "authorized_official_first_name": "JAMAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "940-382-5864",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RA0201X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": "TX",
            "license": "K6658",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "K6658",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "TX",
            "license": "K6658",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TX",
            "license": "K6658",
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "TX",
            "license": "K6658",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "10030136",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "029817601",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0084EU",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Texas Lung Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Linda L. Jacobs, MSSW, LCSW
• Cynthia Deck Jacobson, MED., LPC
• Steven Eric Jacobson, LCSW
• John W Jaderlund, MD
• Sharad Kumar Jain, MD
• Afsheen Amyn Jamal, APRN, FNP-C
• James a Haley M.D. P.a.
• Carl Randall James, RPH
• Jamil a Abbasi, MD PLLC
• Jane M Torrie

• Pulmonary Disease Physician in Denton, TX
• Providers in Denton, TX by specialty
• Pulmonary Disease Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.