Organization
MJB PHYSICIAN SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILLIP BOOSTROM (REGISTERED AGENT)
(972) 502-9981
Entity
Organization
Contact information
Practice address
1701 OHIO DR, PLANO, TX 75093-5208
(972) 502-9981
Mailing address
PO BOX 999, PROSPER, TX 75078-4416
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
08/17/2016
Last updated
10/21/2025
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