Organization
JAMAL MUBARAK, M.D., PA
Active
Organization
JAMAL MUBARAK, M.D., PA
Active
Other names
Texas Lung Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMAL MUBARAK M.D. (PRESIDENT)
(940) 382-5864
Entity
Organization
Contact information
Practice address
209 N. BONNIE BRAE STREET, SUITE 300, DENTON, TX 76201-3708
(940) 382-5864
(940) 382-3939
Mailing address
209 N BONNIE BRAE ST, SUITE 300, DENTON, TX 76201-3708
(940) 382-5864
(940) 382-3939
Taxonomy
Speciality
Code
Description
License number
State
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
K6658
TX
207RC0000X
Cardiovascular Disease Physician
K6658
TX
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
K6658
TX
207RP1001X
Pulmonary Disease Physician
Primary
K6658
TX
207RS0012X
Sleep Medicine (Internal Medicine) Physician
K6658
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0084EU
BCBS
TX
05
—
029817601
—
TX
01
—
10030136
AMERIGROUP
TX
Enumeration date
07/21/2006
Last updated
05/12/2009
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