| Mjmd Primary Care And Aesthetic Medicine Corp | |
|
3721 S Stonebridge Dr Unit 703 Mckinney TX 75070-0234 | |
| (214) 548-4995 | |
| (855) 592-2912 |
| Full Name | Mjmd Primary Care And Aesthetic Medicine Corp |
|---|---|
| Speciality | Internal Medicine |
| Location | 3721 S Stonebridge Dr Unit 703, Mckinney, Texas |
| Authorized Official Name and Position | Mayssara Jubori (OWNER) |
| Authorized Official Contact | 3135504997 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mjmd Primary Care And Aesthetic Medicine Corp 707 Longwood Dr Allen TX 75013-2954 Ph: (313) 550-4997 | Mjmd Primary Care And Aesthetic Medicine Corp 3721 S Stonebridge Dr Unit 703 Mckinney TX 75070-0234 Ph: (214) 548-4995 |
| NPI Number | 1245923325 |
|---|---|
| Provider Enumeration Date | 06/02/2023 |
| Last Update Date | 04/30/2024 |
| Medicare PECOS PAC ID | 3072971464 |
|---|---|
| Medicare Enrollment ID | O20230616000144 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245923325 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| Provider Name | Mayssara Jubori |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518317148 PECOS PAC ID: 7214267616 Enrollment ID: I20220817000189 |
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