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NPI Code Detail

MEDICARE: MERCY MOBILE CARE PLLC

MEDICARE: MERCY MOBILE CARE PLLC
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
1261QH0100XHealth Service Clinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11861898926OTHERNPI

General Provider Information

NPI Number : 1851896849
Entity Type Code : Organization
Provider Name (Legal Business Name) : MERCY MOBILE CARE PLLC
Provider Business Mailing Address
First Line : 6825 BAYLINE DR
Second Line : UNIT 9102
City : FORT WORTH
State : TX
Zip : 76133-4975
Country : US
Telephone Number : 832-702-6463
Fax Number :
Provider Business Practice Location Address
First Line : 6825 BAYLINE DR APT 9102
Second Line :
City : FORT WORTH
State : TX
Zip : 76133-4975
Country : US
Telephone Number : 832-702-6463
Fax Number :
Authorized Official
Title or Position : FAMILY NURSE PRACTITIONER
Name : ANGELA ALGABRI
Credential : MSN, FNP-C
Telephone Number : 832-702-6463
Provider Enumeration Date : 03/29/2018
Last Update Date : 04/02/2018

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Directions to “MERCY MOBILE CARE PLLC ” Practice Location

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