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Organization
MOBILE PHYSICIAN SERVICES, PLLC
Active
Organization
MOBILE PHYSICIAN SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUZANNE ELIZABETH MONDAY M.D. (PRESIDENT)
(903) 461-1874
Entity
Organization
Contact information
Practice address
4101 WESLEY ST, SUITE C, GREENVILLE, TX 75401-5635
(903) 461-1874
(888) 603-5315
Mailing address
PO BOX 306, COMMERCE, TX 75429-0306
(903) 461-1874
(888) 603-5315
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
K9358
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0041WN
BCBS
TX
01
—
1144529579
NPI
TX
01
—
TXB127931
PTAN
TX
Enumeration date
03/24/2011
Last updated
08/26/2013
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