Mobilevax LLC

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

H3497 Issued in TX

Legal business name

MOBILEVAX LLC

Practice address

1200 Fresno Ave
McAllen, TX 78501-4932

Phone

(956) 331-5774

NPI assigned

Aug 14, 2014

Organization subpart

No

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

Authorized official

Name

Juan Sanchez

Title

Ceo

Phone

(956) 331-5774

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1407974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407974400000",
    "number": "1326447442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 FRESNO AVE",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785014932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 FRESNO AVE",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785014932",
            "telephone_number": "956-331-5774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILEVAX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-14",
        "last_updated": "2014-08-14",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "JUAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "956-331-5774"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "TX",
            "license": "H3497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Exclusive Provider Organization in McAllen, TX
• Providers in McAllen, TX by specialty
• Exclusive Provider Organization in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2014; 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.