Provider Demographics
NPI:1497627301
Name:JABARI M BAILEY MD PLLC
Entity type:Organization
Organization Name:JABARI M BAILEY MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JABARI
Authorized Official - Middle Name:
Authorized Official - Last Name:BAILEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-802-7083
Mailing Address - Street 1:11620 PELLICANO DR STE B
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79936-6250
Mailing Address - Country:US
Mailing Address - Phone:915-203-7427
Mailing Address - Fax:915-615-4449
Practice Address - Street 1:11620 PELLICANO DR STE B
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79936-6250
Practice Address - Country:US
Practice Address - Phone:915-203-7427
Practice Address - Fax:915-615-4449
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-19
Last Update Date:2025-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Multi-Specialty