Provider Demographics
NPI:1831598861
Name:M.D.PHYSICIAN BILLING LLC
Entity type:Organization
Organization Name:M.D.PHYSICIAN BILLING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEMETRA
Authorized Official - Middle Name:
Authorized Official - Last Name:BURKHALTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-505-6087
Mailing Address - Street 1:3251 WALL BLVD
Mailing Address - Street 2:1703
Mailing Address - City:GRETNA
Mailing Address - State:LA
Mailing Address - Zip Code:70056-8631
Mailing Address - Country:US
Mailing Address - Phone:504-300-7277
Mailing Address - Fax:
Practice Address - Street 1:3251 WALL BLVD
Practice Address - Street 2:1703
Practice Address - City:GRETNA
Practice Address - State:LA
Practice Address - Zip Code:70056-8631
Practice Address - Country:US
Practice Address - Phone:504-300-7277
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-14
Last Update Date:2014-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No251B00000XAgenciesCase ManagementGroup - Multi-Specialty
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health