# MOBILE PHYSICIAN SERVICES PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194132415
- **Authorized official:** NICOLE HOWARD (SVP OF ADMIN SERVICES)
- **Authorized official phone:** (337) 408-0797

## Contact information

- **Practice address:** 40 LA RIVIERE DR STE 201, BUFFALO, NY 14202-4036
- **Practice address phone:** (337) 991-9276
- **Mailing address:** 5750 JOHNSTON ST STE 205, LAFAYETTE, LA 70503-5345
- **Mailing address phone:** (337) 991-9276

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 134888 | NY | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | 134888 | NY | Yes |

## Other

- **Enumeration date:** 07/18/2014
- **Last updated:** 02/12/2026