Healthcare Provider Details

I. General information

NPI: 1487083200
Provider Name (Legal Business Name): MBM ASSISTING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/02/2013
Last Update Date: 11/02/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9490 FM 1960 BYPASS W. STE. 200-310
HUMBLE TX
77338-3962
US

IV. Provider business mailing address

9490 FM 1960 BYPASS W. STE. 200-310
HUMBLE TX
77338-3962
US

V. Phone/Fax

Practice location:
  • Phone: 832-771-8363
  • Fax: 832-491-0322
Mailing address:
  • Phone: 832-771-8363
  • Fax: 832-491-0322

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License Number
License Number State

VIII. Authorized Official

Name: KARLEY ANNE CURD
Title or Position: OWNER/MANAGER
Credential:
Phone: 832-771-8363