Mayfair Medical Care PLLC

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

L4373 Issued in TX

Legal business name

MAYFAIR MEDICAL CARE PLLC

Practice address

131 Glacier LN
Cedar Hill, TX 75104-1364

Phone

(214) 389-0855

Fax

(214) 389-0859

NPI assigned

Nov 5, 2014

Last updated

Nov 5, 2014By 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

Michielle N Fisher, M.D.

Title

Sole MBR

Phone

(214) 389-0855

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1415145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415145600000",
    "number": "1508262429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 PACIFIC AVE",
            "address_2": "SUITE 15700",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752014529",
            "telephone_number": "214-389-0855",
            "fax_number": "214-389-0859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 GLACIER LN",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751041364",
            "telephone_number": "214-389-0855",
            "fax_number": "214-389-0859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYFAIR MEDICAL CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-05",
        "last_updated": "2014-11-05",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "MICHIELLE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "SOLE MBR",
        "authorized_official_telephone_number": "214-389-0855",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "TX",
            "license": "L4373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Latasha Marlowe
• Kysheenna Sherrell Marshall, LCSW
• Michael Scott Marshall, M.D.
• Ashla Martin, DDS
• Limi Mathews
• John Anthony Mays, CPT
• Anthony O Mba
• MC Star Plus Home Health Care
• Bryan C McCormick, D.C,
• Peter J McCormick

• Geriatric Medicine (Internal Medicine) Physician in Cedar Hill, TX
• Providers in Cedar Hill, TX by specialty
• Geriatric Medicine (Internal Medicine) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.