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NPI Code Detail

MEDICARE: JAMES A MOBLEY MD

MEDICARE: JAMES A MOBLEY MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianE1066TX

General Provider Information

NPI Number : 1548270853
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES A MOBLEY MD
Provider Business Mailing Address
First Line : 2413 MEMORIAL PKWY
Second Line :
City : PORTLAND
State : TX
Zip : 78374-3209
Country : US
Telephone Number : 361-643-4546
Fax Number : 361-758-2137
Provider Business Practice Location Address
First Line : 2413 MEMORIAL PKWY
Second Line :
City : PORTLAND
State : TX
Zip : 78374-3209
Country : US
Telephone Number : 361-643-4546
Fax Number : 361-643-7986
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2006
Last Update Date : 08/17/2021

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