| Gulf Shoals Pllc | |
|
3100 Peters Colony Rd Flower Mound TX 75022-2949 | |
| (469) 443-6127 | |
| Not Available |
| Full Name | Gulf Shoals Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 3100 Peters Colony Rd, Flower Mound, Texas |
| Authorized Official Name and Position | Junaid Laheji (OWNER) |
| Authorized Official Contact | 4694436127 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gulf Shoals Pllc 2408 Gulf Stream Ln Arlington TX 76001-8471 Ph: () - | Gulf Shoals Pllc 3100 Peters Colony Rd Flower Mound TX 75022-2949 Ph: (469) 443-6127 |
| NPI Number | 1497515894 |
|---|---|
| Provider Enumeration Date | 03/21/2024 |
| Last Update Date | 03/21/2024 |
| Medicare PECOS PAC ID | 0648619833 |
|---|---|
| Medicare Enrollment ID | O20240422000299 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497515894 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Junaid Laheji |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225562275 PECOS PAC ID: 0042620189 Enrollment ID: I20201102000449 |
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