Organization
PHYSICIAN MOBILE MEDICAL CARE PC
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 500, BUFFALO, NY 14202-4344
(337) 408-0797
(716) 893-1002
Mailing address
5750 JOHNSTON ST STE 205, LAFAYETTE, LA 70503-5345
(337) 408-0797
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
03/05/2025
Last updated
03/03/2026
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