Mount Moriah Family Medicine, PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

N3814 Issued in TX

Legal business name

MOUNT MORIAH FAMILY MEDICINE, PLLC

Practice address

151 Walton Way Ste 107
Midlothian, TX 76065-8010

Phone

(469) 672-2100

Fax

(469) 672-2101

NPI assigned

Sep 15, 2010

Last updated

Oct 27, 2020By 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. Elias Flores Lara Jr., D.O.NPI 1821309675

Title

Medical Director

Phone

(817) 368-4136

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 2

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.

• Elias Flores Lara Jr., D.O.

  • Family Medicine Physician
  • Midlothian, TX
  • NPI 1821309675
  Authorized official Same address or phone
• Bobby Allen Brite, FNP-C

  • Family Nurse Practitioner
  • Midlothian, TX
  • NPI 1598262040
  NPD

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

{
    "created_epoch": "1284508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603756800000",
    "number": "1639487440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1312 TANGLEWOOD DR",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760637696",
            "telephone_number": "817-473-6063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 WALTON WAY STE 107",
            "city": "MIDLOTHIAN",
            "state": "TX",
            "postal_code": "760658010",
            "telephone_number": "469-672-2100",
            "fax_number": "469-672-2101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT MORIAH FAMILY MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-15",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A",
        "authorized_official_last_name": "LARA",
        "authorized_official_first_name": "ELIAS",
        "authorized_official_middle_name": "FLORES",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "817-368-4136",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "N3814",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "355643304",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "1H3426",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Taylor Alyssa Moreno, LBA, BCBA
• Davis Wayne Morgan, D.D.S.
• Sarah Angelle Morris, COTA
• Ariana Moss-Fields, CPNP-PC
• Charlotte Delane Moss, PA-C
• Olga Lupe Munguia-Castanon, NP
• Christine Maryam Munoz, LPC-A
• My Dr Now Texas PLLC (My Dr Now)
• Althea Rene' Myers
• Jennifer Elizabeth Nagg, M.ED., LPC

• Family Medicine Physician in Midlothian, TX
• Providers in Midlothian, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; 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.