Medical Group Of North Texas, Pa | |
9330 Poppy Drive Suite 203 Dallas TX 75214-3336 | |
(214) 324-6770 | |
Not Available |
Full Name | Medical Group Of North Texas, Pa |
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Speciality | Internal Medicine |
Location | 9330 Poppy Drive, Dallas, Texas |
Authorized Official Name and Position | Farah Masood (PRESIDENT) |
Authorized Official Contact | 9722682315 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Medical Group Of North Texas, Pa Po Box 12171 Dallas TX 75225 Ph: (214) 324-6770 | Medical Group Of North Texas, Pa 9330 Poppy Drive Suite 203 Dallas TX 75214-3336 Ph: (214) 324-6770 |
NPI Number | 1326317702 |
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Provider Enumeration Date | 12/14/2011 |
Last Update Date | 04/17/2015 |
Medicare PECOS PAC ID | 8426219791 |
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Medicare Enrollment ID | O20120412000578 |
Identifier | Type | State | Issuer |
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1326317702 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | P1567 (Texas) | Primary |
Provider Name | Farah Masood |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1447403563 PECOS PAC ID: 1850551037 Enrollment ID: I20120326000515 |
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