Mobile Medic USA,P.L.L.C.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA02284 Issued in TX

Legal business name

MOBILE MEDIC USA,P.L.L.C.

Practice address

700 Mirkes Pkwy
Desoto, TX 75115-2972

Phone

(469) 475-4245

Fax

(972) 274-1167

NPI assigned

Apr 14, 2013

Last updated

May 20, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Debra K Hunter, PANPI 1104936509

Title

Physician Assistant

Phone

(972) 849-0825

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Debra K Hunter, PA

  • Physician Assistant
  • Desoto, TX
  • NPI 1104936509
  Authorized official Same address or phone

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

{
    "created_epoch": "1365897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369008000000",
    "number": "1346683992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 MIRKES PKWY",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152972",
            "telephone_number": "469-475-4245",
            "fax_number": "972-274-1167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 MIRKES PKWY",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152972",
            "telephone_number": "469-475-4245",
            "fax_number": "972-274-1167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE MEDIC USA,P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-14",
        "last_updated": "2013-05-20",
        "status": "A",
        "authorized_official_last_name": "HUNTER",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PHYSICIAN ASSISTANT",
        "authorized_official_telephone_number": "972-849-0825",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA02284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassandra Latrice Mitchell, MA, LPC
• Micheal Jermaine Mitchell
• Miyah Charray Mitchell, HAIR LOSS SPECIALIST
• MKB Community Living,LLC
• Michelle Moate, MD
• Modern Back and Neck Clinic Inc
• Olivia Moffett
• Mompremier Eye Institute, PLLC
• Mikelson Mompremier, M.D.,F.A.C.S.
• Monarch Holding, Inc. (Live Oak)

• Medical Physician Assistant in Desoto, TX
• Providers in Desoto, TX by specialty
• Medical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2013; 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.