ID PHYSICIAN CONSULTATION SERVICE PLLC (NPI# 1578895116) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578895116 |
| Entity Type | Organization |
| Organization Name | ID PHYSICIAN CONSULTATION SERVICE PLLC |
| Practice Address |
716 Bedell Ln Murphy TX 75094-4260 |
| Practice Telephone | 2149146873 |
| Mailing Telephone | 2149146873 |
| Enumeration Date | 2010-02-08 |
| Last Update Date | 2010-05-10 |
| Authorized Official Name | MOHANAD BAKLEH (PHYSICIAN) |
| Authorized Official Telephone | 2149146873 |
| Authorized Official Credential | M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | M7840 | TX | Other Service Providers |
| Street Address |
716 BEDELL LN |
| City | MURPHY |
| State | TX |
| Zip Code | 75094-4260 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942281415 | Mohanad Bakleh | Internal Medicine | 716 Bedell Ln, Murphy, TX 75094-4260 | 2005-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245858406 | Leanne Omar Esbayhat | Physician Assistant | 211 East Farm To Market Road 544, #401, Murphy, TX 75094 | 2020-07-13 |
| 1942862503 | Marc Adam Fruithandler | Dentist | 213 North Murphy Road, Suite 700, Murphy, TX 75094 | 2019-07-03 |
| 1154882355 | Eye Center of Murphy Pllc | Optometrist | 213 N. Murphy Road, Suite 100, Murphy, TX 75094 | 2019-03-29 |
| 1255892881 | Tai Dental, Pllc | Dentist | 1015 N Murphy Rd # 100, Murphy, TX 75094 | 2019-03-27 |
| 1710489299 | Lumincare Physician Group, Pa | Family Medicine | 601 West Fm 544 Suite 111, Murphy, TX 75094 | 2018-03-01 |
| 1104377241 | Oliver S. Villaruel, Dds, Pllc | Clinic/Center | 410 West Fm 544, 103, Murphy, TX 75094 | 2016-10-24 |
| 1497127732 | Linu Mathew | Nurse Practitioner | 409 Cave River Drive, Murphy, TX 75094 | 2015-10-27 |
| 1487030946 | Solo S Transport | Non-emergency Medical Transport (VAN) | 305 Woodlake Dr, Murphy, TX 75094 | 2015-08-07 |
| 1235558453 | Heaton Holdings, Pllc | Dentist | 1501 West Miller Rd., Suite 180, Garland, TX 75094 | 2014-04-15 |
| 1619308319 | Cr Emergency Room, LLC | General Acute Care Hospital | 511 Fm 544, Suite 100, Murphy, TX 75094 | 2013-12-05 |
| Find all providers in zip 75094 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
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|---|---|---|---|---|
| 1063458032 | David John Mock | Specialist | 3765 E Us Highway 64 Alt Ste 9, Murphy, NC 28906-6967 | 2006-06-20 |
| 1891716874 | Murphy Women's Center | Specialist | 75 Medical Park Ln, Suite D, Murphy, NC 28906-6667 | 2006-07-22 |
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| 1871100313 | Your Choice Healthcare | Specialist | 1111 N I 35 E, Desoto, TX 75115-3509 | 2020-09-29 |
| 1306450226 | Circulum LLC | Specialist | 600 Mark Drive, Alrington, TX 76013-2013 | 2020-09-08 |
| 1255949152 | Angelica Rosas-torres | Specialist | 9810 Brick Village Dr, Houston, TX 77095-5072 | 2020-07-16 |
| 1205452554 | Kira Marie Levy | Specialist | 25700 I-45 #415, Spring, TX 77386 | 2020-06-23 |
| 1699399675 | Hannah Stewart | Specialist | 2202 93rd St, Lubbock, TX 79423-4338 | 2020-06-04 |
| 1841810306 | Abc Surgical, LLC | Specialist | 6 Twin Circle Dr, Beaumont, TX 77706-5304 | 2020-04-24 |
| 1093334039 | Sport Is Religion | Specialist | 8641 Las Vegas Ct Apt 2722, Fort Worth, TX 76116-0044 | 2020-04-09 |
| 1689202004 | Bayou Surgical Assistants Inc | Specialist | 121 N Post Oak Ln Apt 2204, Houston, TX 77024-7717 | 2020-03-31 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.