Provider Demographics
NPI:1306662135
Name:M.M.K.E LLC
Entity type:Organization
Organization Name:M.M.K.E LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MARIAM
Authorized Official - Middle Name:MAHMOUD
Authorized Official - Last Name:MOBARAK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:832-335-9990
Mailing Address - Street 1:8136 ROSEMARY SAGE DR
Mailing Address - Street 2:
Mailing Address - City:MAGNOLIA
Mailing Address - State:TX
Mailing Address - Zip Code:77354-4150
Mailing Address - Country:US
Mailing Address - Phone:832-335-9990
Mailing Address - Fax:
Practice Address - Street 1:30340 FM 2978 RD STE 600
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77354-6152
Practice Address - Country:US
Practice Address - Phone:832-335-9990
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-26
Last Update Date:2024-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty