MRJ MD PA

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

MRJ MD PA

Practice address

5744 LBJ Fwy
Suite 180
Dallas, TX 75240-6322

Phone

(214) 276-0039

Fax

(469) 484-4076

NPI assigned

Mar 20, 2008

Last updated

Dec 28, 2015By 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

Dr. Mark Robert Jaffe, M.D.

Title

Physician

Phone

(214) 276-0039

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

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.

• Gustave Nose Alberti, M.D.

  • Ophthalmology Physician
  • Mansfield, TX
  • NPI 1790807998
  NPD (past)
• Michael Alan Blair, M.D.

  • Ophthalmology Physician
  • Arlington, TX
  • NPI 1104949841
  NPD (past)
• D Todd Ford, M.D.

  • Ophthalmology Physician
  • Arlington, TX
  • NPI 1306807177
  NPD (past)

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

{
    "created_epoch": "1205971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451260800000",
    "number": "1407027105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5744 LBJ FWY",
            "address_2": "SUITE180",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752406322",
            "telephone_number": "214-276-0039",
            "fax_number": "469-484-4076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5744 LBJ FWY",
            "address_2": "SUITE 180",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752406322",
            "telephone_number": "214-276-0039",
            "fax_number": "469-484-4076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MRJ MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-20",
        "last_updated": "2015-12-28",
        "status": "A",
        "authorized_official_last_name": "JAFFE",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "214-276-0039",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "164971701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Agatha Mpemba, PA-C
• MPL Inc. (Medical and Pathology Lab)
• Mpower Physical Therapy
• MPRX, Inc (Medical Park Pharmacy)
• MRI Centers of Texas LLC-Preston Series
• MRT
• Mrxpro Medical Supply LLC
• Ms. Betty's Place, LLC
• Ms.Elite Enterprises L.L.C.
• Haytham Msallak

• Specialist in Dallas, TX
• Providers in Dallas, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2015; 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.