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420 Johnson Rd Suite 201 Keller TX 76248-3460 | |
| (214) 799-5878 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Internal Medicine |
| Location | 420 Johnson Rd, Keller, Texas |
| Authorized Official Name and Position | Abdul Moneim Saad Hasheesh (OWNER) |
| Authorized Official Contact | 2147995878 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
420 Johnson Rd Suite 201 Keller TX 76248-3460 Ph: () - | 420 Johnson Rd Suite 201 Keller TX 76248-3460 Ph: (214) 799-5878 |
| NPI Number | 1023485521 |
|---|---|
| Provider Enumeration Date | 08/31/2015 |
| Last Update Date | 10/28/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023485521 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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