| M B Systems Ltd | |
|
13740 W State Highway 29 Ste 4 Liberty Hill TX 78642-6363 | |
| (512) 548-6838 | |
| (512) 548-6840 |
| Full Name | M B Systems Ltd |
|---|---|
| Speciality | Clinic/Center |
| Location | 13740 W State Highway 29 Ste 4, Liberty Hill, Texas |
| Authorized Official Name and Position | Whitney Lorraine Brace (DIRECTOR) |
| Authorized Official Contact | 5127797922 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| M B Systems Ltd 13740 W State Highway 29 Ste 4 Liberty Hill TX 78642-6363 Ph: (512) 548-6838 | M B Systems Ltd 13740 W State Highway 29 Ste 4 Liberty Hill TX 78642-6363 Ph: (512) 548-6838 |
| NPI Number | 1578198164 |
|---|---|
| Provider Enumeration Date | 03/04/2020 |
| Last Update Date | 08/04/2022 |
| Medicare PECOS PAC ID | 2567883978 |
|---|---|
| Medicare Enrollment ID | O20200610001406 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578198164 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QH0100X | Clinic/center - Health Service | (* (Not Available)) | Primary |
| Provider Name | Timothy Iannone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922280601 PECOS PAC ID: 9537283296 Enrollment ID: I20100901000638 |
| Provider Name | Laura Purdy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093058463 PECOS PAC ID: 9133556624 Enrollment ID: I20210224002559 |
| Provider Name | Joel Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194783472 PECOS PAC ID: 7517943327 Enrollment ID: I20210913001306 |
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