Mjb Physician Services PLLC
NPI 1497200794ActiveOrganization· Anesthesiology· Plano, TX
Anesthesiology in Plano, Texas, registered in NPPES in August 2016. The authorized official on file is Phillip Boostrom, Registered Agent. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1497200794 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 17, 2016 |
| Last updated in NPPES | Oct 21, 2025 |
| Certified by provider | Oct 21, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Anesthesiology Primary | 207L00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (TX) |
|---|
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