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4070 N Belt Line Rd Irving TX 75038-5028 | |
(817) 706-2091 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Primary Care |
Location | 4070 N Belt Line Rd, Irving, Texas |
Authorized Official Name and Position | Shamsuddin Lalani (PRESIDENT) |
Authorized Official Contact | 8177062091 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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4070 N Belt Line Rd Irving TX 75038-5028 Ph: (817) 706-2091 | 4070 N Belt Line Rd Irving TX 75038-5028 Ph: (817) 706-2091 |
NPI Number | 1972005924 |
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Provider Enumeration Date | 03/06/2018 |
Last Update Date | 03/06/2018 |
Identifier | Type | State | Issuer |
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1972005924 | NPI | - | NPPES |
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