| |
3430 W Wheatland Rd Pob I Ste#219 Dallas TX 75237-3446 | |
(972) 298-7450 | |
(972) 298-2045 |
Full Name | |
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Speciality | Internal Medicine |
Location | 3430 W Wheatland Rd, Dallas, Texas |
Authorized Official Name and Position | Saleemah Fahmi (PHYSICIAN/DIRECTOR) |
Authorized Official Contact | 9722987450 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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3430 W Wheatland Rd Pob I Ste#219 Dallas TX 75237-3446 Ph: (972) 298-7450 | 3430 W Wheatland Rd Pob I Ste#219 Dallas TX 75237-3446 Ph: (972) 298-7450 |
NPI Number | 1932382249 |
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Provider Enumeration Date | 12/10/2007 |
Last Update Date | 01/19/2012 |
Medicare PECOS PAC ID | 1254400369 |
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Medicare Enrollment ID | O20080515000309 |
Identifier | Type | State | Issuer |
---|---|---|---|
1932382249 | NPI | - | NPPES |
8AU790 | Other | TX | BC/BS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | M8648 (Texas) | Primary |
Provider Name | Saleemah Y Fahmi |
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Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1922283506 PECOS PAC ID: 2264501378 Enrollment ID: I20080515000305 |
Provider Name | Sharain F Adams |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275701385 PECOS PAC ID: 5092941088 Enrollment ID: I20131121001340 |
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