M & M Pediatrics, PLLC

Organization Active NPI Pediatrics Physician · Brownsville, TX

NPI 1235170606 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1235170606
Entity type
Organization (NPI type 2)
Primary specialty
Pediatrics Physician 208000000X
Legal business name
M & M PEDIATRICS, PLLC
Practice address
3354 International Blvd
Brownsville, TX 78521-3226
Phone
(956) 548-6666
Fax
(956) 548-6667
NPI assigned
Jun 9, 2006
Organization subpart
No

Authorized official

Name
Mir S Ali, MD
Title
Partner
Phone
(956) 548-6666

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 4

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in TX

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20060404000235 TX Part B Supplier - Clinic/Group Practice 6608884556 Receives reassigned benefits from 2 practitioners
Practice locations: Brownsville, TX

National Provider Directory

Tax ID family
M M Pediatrics (2 organizations share this tax ID)

Locations

1474 W Price Rd
#602
Brownsville, TX 78520
Phone (956) 465-1193

100 E Alton Gloor Blvd
Ste A
Brownsville, TX 78526
Phone (956) 350-7000

1424 W Price Rd
#602
Brownsville, TX 78520

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician
Group: 193200000X MULTI-SPECIALTY GROUP
208000000X Yes

Addresses

Primary practice location

3354 International Blvd
Brownsville, TX 78521-3226

Mailing address

1474 W Price Rd
Box 602
Brownsville, TX 78520-8687
Phone (956) 548-6666

Other providers in Brownsville, TX

All providers in Brownsville, TX · Pediatrics Physician in Texas

Sources for this page

Verify at the official NPI Registry.