| Shibli Family Medicine And Obesity Clinic Pllc | |
|
802 Us Highway 80 E Mesquite TX 75149-1555 | |
| (469) 827-7300 | |
| (469) 202-0120 |
| Full Name | Shibli Family Medicine And Obesity Clinic Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 802 Us Highway 80 E, Mesquite, Texas |
| Authorized Official Name and Position | Urooj Shibli (OWNER) |
| Authorized Official Contact | 4123780755 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shibli Family Medicine And Obesity Clinic Pllc 5045 Mulholland Dr Plano TX 75074-7036 Ph: (412) 378-0755 | Shibli Family Medicine And Obesity Clinic Pllc 802 Us Highway 80 E Mesquite TX 75149-1555 Ph: (469) 827-7300 |
| NPI Number | 1093478489 |
|---|---|
| Provider Enumeration Date | 10/21/2021 |
| Last Update Date | 02/11/2022 |
| Medicare PECOS PAC ID | 7113318577 |
|---|---|
| Medicare Enrollment ID | O20211220002399 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093478489 | NPI | - | NPPES |
| Provider Name | Urooj Shibli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295901049 PECOS PAC ID: 4981720844 Enrollment ID: I20111129000518 |
| Provider Name | Carol Broom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841615796 PECOS PAC ID: 7810363447 Enrollment ID: I20221021001290 |
| Provider Name | Kimberly Crayton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548819394 PECOS PAC ID: 7113469396 Enrollment ID: I20240603003121 |
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