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

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, PA

Title

Physician Assistant

Phone

(972) 849-0825

Specialties & licenses 1

Addresses

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": []
}

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• 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.