Mrj Md Pa is a Specialist in Dallas, Texas. Mrj Md Pa practices all healthcare services and medical treatments related to Specialist. The NPI Number for Mrj Md Pa is 1407027105. The last update date is 2015-12-28.
Mrj Md Pa's current location address is 5744 Lbj Fwy, Dallas, Texas. You can contact this provider via phone number 2142760039 and fax number 4694844076. The mailing address for Mrj Md Pa is 5744 Lbj Fwy, Dallas, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mrj Md Pa |
|---|---|
| Address | 5744 Lbj Fwy, Dallas, Texas |
| Phone Number | 2142760039 |
| Fax Number | 4694844076 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHYSICIAN |
|---|---|
| Authorized Official Name | Jaffe Robert Mark |
| Credentials | M.D. |
| Telephone Number | 2142760039 |
NPI Number Detail
| NPI Number | 1407027105 |
|---|---|
| Provider Enumeration Date | 2008-03-20 |
| Last Updated Date | 2015-12-28 |
Provider Mailing Address Detail
| Address | 5744 Lbj Fwy |
|---|---|
| City | Dallas |
| State | Texas (TX) |
| Post Code | 752406322 |
| Phone Number | 2142760039 |
| Fax Number | 4694844076 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
|
Definition: 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. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 164971701 | TX | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Mrj Md Pa by the Centers for Medicare & Medicaid Services?
The Mrj Md Pa has been issued the NPI (National Provider Identifier) 1407027105, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Mrj Md Pa's physical address?
The Mrj Md Pa is physically located at 5744 Lbj Fwy, in the city of Dallas, TX, with the postal code 752406322.
What is Mrj Md Pa's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Mrj Md Pa is Specialist, and the corresponding taxonomy classification code for this specialized field is 174400000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1407027105 to Mrj Md Pa?
The Centers for Medicare & Medicaid Services originally issued the 1407027105 to Mrj Md Pa on 2008-03-20.
As of what date were the details related to Mrj Md Pa most recently updated or revised?
The information pertaining to Mrj Md Pa, including its address, specialty, and other relevant details, was last updated or revised on 2015-12-28.