Provider Demographics
NPI:1578198164
Name:M B SYSTEMS LTD
Entity Type:Organization
Organization Name:M B SYSTEMS LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:WHITNEY
Authorized Official - Middle Name:LORRAINE
Authorized Official - Last Name:BRACE
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:512-779-7922
Mailing Address - Street 1:13740 W STATE HIGHWAY 29 STE 4
Mailing Address - Street 2:
Mailing Address - City:LIBERTY HILL
Mailing Address - State:TX
Mailing Address - Zip Code:78642-6363
Mailing Address - Country:US
Mailing Address - Phone:512-548-6838
Mailing Address - Fax:512-548-6840
Practice Address - Street 1:13740 W STATE HIGHWAY 29 STE 4
Practice Address - Street 2:
Practice Address - City:LIBERTY HILL
Practice Address - State:TX
Practice Address - Zip Code:78642-6363
Practice Address - Country:US
Practice Address - Phone:512-548-6838
Practice Address - Fax:512-548-6840
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-04
Last Update Date:2022-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty