Mbody Texas PLLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

MBODY TEXAS PLLC

Practice address

11330 Legacy Dr Ste 103
Frisco, TX 75033-1210

Phone

(469) 777-4691

NPI assigned

Oct 16, 2023

Organization subpart

No

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

Authorized official

Name

Efosa Airuehia, MD

Title

Owner

Phone

(573) 999-9135

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1697414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697414400000",
    "number": "1316729205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11330 LEGACY DR STE 103",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750331210",
            "telephone_number": "469-777-4691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11330 LEGACY DR STE 103",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750331210",
            "telephone_number": "469-777-4691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MBODY TEXAS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-16",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A",
        "authorized_official_last_name": "AIRUEHIA",
        "authorized_official_first_name": "EFOSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-999-9135",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Frisco, TX
• Providers in Frisco, TX by specialty
• Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; 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.