Organization
MOBILE PHYSICIAN SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE HOWARD (SVP OF ADMIN SERVICES)
(337) 408-0797
Entity
Organization
Contact information
Practice address
40 LA RIVIERE DR STE 201, BUFFALO, NY 14202-4036
(337) 991-9276
Mailing address
5750 JOHNSTON ST STE 205, LAFAYETTE, LA 70503-5345
(337) 991-9276
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
134888
NY
363LP2300X
Primary Care Nurse Practitioner
Primary
134888
NY
Other
Enumeration date
07/18/2014
Last updated
02/12/2026
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