Provider Demographics
NPI:1346683992
Name:MOBILE MEDIC USA,P.L.L.C.
Entity Type:Organization
Organization Name:MOBILE MEDIC USA,P.L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN ASSISTANT
Authorized Official - Prefix:
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:K
Authorized Official - Last Name:HUNTER
Authorized Official - Suffix:
Authorized Official - Credentials:PA
Authorized Official - Phone:972-849-0825
Mailing Address - Street 1:700 MIRKES PKWY
Mailing Address - Street 2:
Mailing Address - City:DESOTO
Mailing Address - State:TX
Mailing Address - Zip Code:75115-2972
Mailing Address - Country:US
Mailing Address - Phone:469-475-4245
Mailing Address - Fax:972-274-1167
Practice Address - Street 1:700 MIRKES PKWY
Practice Address - Street 2:
Practice Address - City:DESOTO
Practice Address - State:TX
Practice Address - Zip Code:75115-2972
Practice Address - Country:US
Practice Address - Phone:469-475-4245
Practice Address - Fax:972-274-1167
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-14
Last Update Date:2013-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA02284363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedicalGroup - Single Specialty