| Fair Health Wellness Center | |
|
60 E Mcdermott Dr Ste A Allen TX 75002-2802 | |
| (469) 646-6200 | |
| Not Available |
| Full Name | Fair Health Wellness Center |
|---|---|
| Speciality | Family Medicine |
| Location | 60 E Mcdermott Dr Ste A, Allen, Texas |
| Authorized Official Name and Position | Mohammad Azad (OWNER) |
| Authorized Official Contact | 9727428310 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fair Health Wellness Center 60 E Mcdermott Dr Ste A Allen TX 75002-2802 Ph: (972) 742-8310 | Fair Health Wellness Center 60 E Mcdermott Dr Ste A Allen TX 75002-2802 Ph: (469) 646-6200 |
| NPI Number | 1578047114 |
|---|---|
| Provider Enumeration Date | 09/19/2018 |
| Last Update Date | 11/15/2023 |
| Medicare PECOS PAC ID | 7911244124 |
|---|---|
| Medicare Enrollment ID | O20190125002332 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578047114 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Mohammad A Azad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588847826 PECOS PAC ID: 1658441803 Enrollment ID: I20081015000370 |
| Provider Name | Muzakeer Shaik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114969300 PECOS PAC ID: 6305842550 Enrollment ID: I20081201000367 |
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