| Malik M Ali Llc | |
|
2003 Courtland Dr Frisco TX 75034-3634 | |
| (817) 296-6224 | |
| Not Available |
| Full Name | Malik M Ali Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2003 Courtland Dr, Frisco, Texas |
| Authorized Official Name and Position | Malik M Ali (PROVIDER) |
| Authorized Official Contact | 2104174595 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Malik M Ali Llc 2003 Courtland Dr Frisco TX 75034-3634 Ph: (210) 417-4595 | Malik M Ali Llc 2003 Courtland Dr Frisco TX 75034-3634 Ph: (817) 296-6224 |
| NPI Number | 1225596018 |
|---|---|
| Provider Enumeration Date | 03/11/2019 |
| Last Update Date | 03/11/2019 |
| Medicare PECOS PAC ID | 8022350636 |
|---|---|
| Medicare Enrollment ID | O20190501001595 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225596018 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Malik Mohsin Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053536789 PECOS PAC ID: 3274679030 Enrollment ID: I20091007000777 |
| Provider Name | Jennifer Renee Palomares |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598397937 PECOS PAC ID: 5698145134 Enrollment ID: I20221228000944 |
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