| Ideal Infectious Disease &wound Care Center Pllc | |
|
4105 Highway 121 Ste 604 Bedford TX 76021-3039 | |
| (682) 738-3835 | |
| (682) 738-3834 |
| Full Name | Ideal Infectious Disease &wound Care Center Pllc |
|---|---|
| Speciality | Internal Medicine - Infectious Disease |
| Location | 4105 Highway 121 Ste 604, Bedford, Texas |
| Authorized Official Name and Position | Khawar Khurshid (OWNER) |
| Authorized Official Contact | 6827383835 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ideal Infectious Disease &wound Care Center Pllc 4105 Highway 121 Ste 604 Bedford TX 76021-3039 Ph: (682) 738-3835 | Ideal Infectious Disease &wound Care Center Pllc 4105 Highway 121 Ste 604 Bedford TX 76021-3039 Ph: (682) 738-3835 |
| NPI Number | 1700401262 |
|---|---|
| Provider Enumeration Date | 06/10/2020 |
| Last Update Date | 03/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700401262 | NPI | - | NPPES |
| R4861 | Other | TX | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
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