Provider Demographics
NPI:1164042354
Name:M MEDICAL LLC
Entity Type:Organization
Organization Name:M MEDICAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NADAV
Authorized Official - Middle Name:
Authorized Official - Last Name:MOR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-972-4885
Mailing Address - Street 1:4506 CAT MOUNTAIN DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78731-3504
Mailing Address - Country:US
Mailing Address - Phone:713-972-4885
Mailing Address - Fax:
Practice Address - Street 1:4506 CAT MOUNTAIN DR
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78731-3504
Practice Address - Country:US
Practice Address - Phone:713-972-4885
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-17
Last Update Date:2020-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent CareGroup - Multi-Specialty