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1902 Country Club Dr Suite 160 Carrollton TX 75006-5811 | |
(469) 215-2555 | |
(469) 215-2553 |
Full Name | |
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Speciality | Internal Medicine |
Location | 1902 Country Club Dr, Carrollton, Texas |
Authorized Official Name and Position | Tabassum Hameed (PRESIDENT) |
Authorized Official Contact | 2147709025 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1902 Country Club Dr Suite 160 Carrollton TX 75006-5811 Ph: (469) 215-2555 | 1902 Country Club Dr Suite 160 Carrollton TX 75006-5811 Ph: (469) 215-2555 |
NPI Number | 1003340928 |
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Provider Enumeration Date | 04/18/2017 |
Last Update Date | 04/18/2017 |
Identifier | Type | State | Issuer |
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1003340928 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (Texas) | Primary |
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