Healthcare Provider Details

I. General information

NPI: 1760361554
Provider Name (Legal Business Name): MF MEDICAL PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/27/2025
Last Update Date: 09/08/2025
Certification Date: 09/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3505 S BUCKNER BLVD BLDG 2
DALLAS TX
75227-5451
US

IV. Provider business mailing address

487 BARNARD AVE
CEDARHURST NY
11516-1703
US

V. Phone/Fax

Practice location:
  • Phone: 551-206-1222
  • Fax:
Mailing address:
  • Phone: 551-206-0179
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. ELI KNOLL
Title or Position: PRESIDENT
Credential:
Phone: 551-206-0179