Provider Demographics
NPI:1548814353
Name:MPL INC
Entity type:Organization
Organization Name:MPL INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MOTAZ
Authorized Official - Middle Name:
Authorized Official - Last Name:ALBAHRA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:903-758-8511
Mailing Address - Street 1:402 N 5TH ST
Mailing Address - Street 2:
Mailing Address - City:LONGVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:75601-6529
Mailing Address - Country:US
Mailing Address - Phone:903-758-8511
Mailing Address - Fax:903-757-5033
Practice Address - Street 1:2525 W BELLFORT AVE STE 194
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-5099
Practice Address - Country:US
Practice Address - Phone:281-661-1825
Practice Address - Fax:903-757-5003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-30
Last Update Date:2022-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical PathologyGroup - Multi-Specialty