| Alshafa,p.a. | |
|
1290 Highway 157 N Mansfield TX 76063-1538 | |
| (817) 473-0277 | |
| (817) 473-0911 |
| Full Name | Alshafa,p.a. |
|---|---|
| Speciality | Family Medicine |
| Location | 1290 Highway 157 N, Mansfield, Texas |
| Authorized Official Name and Position | Riaz Haider (OWNER) |
| Authorized Official Contact | 8174730277 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alshafa,p.a. 1290 Highway 157 N Mansfield TX 76063-1538 Ph: (817) 473-0277 | Alshafa,p.a. 1290 Highway 157 N Mansfield TX 76063-1538 Ph: (817) 473-0277 |
| NPI Number | 1891981080 |
|---|---|
| Provider Enumeration Date | 09/20/2007 |
| Last Update Date | 11/08/2024 |
| Medicare PECOS PAC ID | 1052400306 |
|---|---|
| Medicare Enrollment ID | O20071210000260 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891981080 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Riaz Haider |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871549006 PECOS PAC ID: 0648369926 Enrollment ID: I20071210000440 |
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