| Jaber Medicine Pllc | |
|
3504 Ne 24th Ave Amarillo TX 79107-6920 | |
| (806) 381-1732 | |
| (806) 381-0748 |
| Full Name | Jaber Medicine Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3504 Ne 24th Ave, Amarillo, Texas |
| Authorized Official Name and Position | Mouin Jaber (SOLE MEMBER/PRESIDENT) |
| Authorized Official Contact | 8063811732 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jaber Medicine Pllc Po Box 5159 Amarillo TX 79117-5159 Ph: (806) 381-1732 | Jaber Medicine Pllc 3504 Ne 24th Ave Amarillo TX 79107-6920 Ph: (806) 381-1732 |
| NPI Number | 1538885348 |
|---|---|
| Provider Enumeration Date | 10/13/2022 |
| Last Update Date | 10/13/2022 |
| Medicare PECOS PAC ID | 4284007956 |
|---|---|
| Medicare Enrollment ID | O20230228000369 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538885348 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Mouin Jaber |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033226915 PECOS PAC ID: 9032244983 Enrollment ID: I20100317000158 |
| Provider Name | June Bounsing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922465319 PECOS PAC ID: 3476857285 Enrollment ID: I20160215001147 |
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