Provider Demographics
NPI:1902585524
Name:MD FOR SENIORS, PLLC
Entity Type:Organization
Organization Name:MD FOR SENIORS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:KOJO
Authorized Official - Middle Name:A
Authorized Official - Last Name:POBEE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-983-5466
Mailing Address - Street 1:5440 HARVEST HILL RD STE 182B
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75230-1607
Mailing Address - Country:US
Mailing Address - Phone:214-458-8845
Mailing Address - Fax:214-348-0129
Practice Address - Street 1:5440 HARVEST HILL RD STE 182B
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75230-1607
Practice Address - Country:US
Practice Address - Phone:214-348-7611
Practice Address - Fax:214-348-0129
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-12
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric MedicineGroup - Multi-Specialty