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NPI Code Detail

MEDICARE: MBO TENNESSEE, PLLC

MEDICARE: MBO TENNESSEE, 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
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)
22084P0800XPsychiatry Physician

General Provider Information

NPI Number : 1548078405
Entity Type Code : Organization
Provider Name (Legal Business Name) : MBO TENNESSEE, PLLC
Provider Business Mailing Address
First Line : 16 VILLAGE LN STE 200
Second Line :
City : COLLEYVILLE
State : TX
Zip : 76034-2948
Country : US
Telephone Number : 682-900-6631
Fax Number : 800-416-8145
Provider Business Practice Location Address
First Line : 740 COOL SPRINGS BLVD STE 140
Second Line :
City : FRANKLIN
State : TN
Zip : 37067-6449
Country : US
Telephone Number : 682-900-6631
Fax Number : 800-416-8145
Authorized Official
Title or Position : VP, REV CYCLE MANAGEMENT
Name : BYRON MCLAUGHLIN
Credential :
Telephone Number : 682-350-5880
Provider Enumeration Date : 12/24/2024
Last Update Date : 01/21/2026

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