Provider Demographics
NPI:1851896849
Name:MERCY MOBILE CARE PLLC
Entity Type:Organization
Organization Name:MERCY MOBILE CARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FAMILY NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALGABRI
Authorized Official - Suffix:
Authorized Official - Credentials:MSN, FNP-C
Authorized Official - Phone:832-702-6463
Mailing Address - Street 1:6825 BAYLINE DR
Mailing Address - Street 2:UNIT 9102
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76133-4975
Mailing Address - Country:US
Mailing Address - Phone:832-702-6463
Mailing Address - Fax:
Practice Address - Street 1:6825 BAYLINE DR APT 9102
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76133-4975
Practice Address - Country:US
Practice Address - Phone:832-702-6463
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-29
Last Update Date:2018-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
Provider Identifiers
StateIdentifier IDID TypeIssuer
1861898926OtherNPI