| Reza Assadollah, Dcnp, Pllc | |
|
4601 Old Shepard Pl Ste 404 Plano TX 75093-5277 | |
| (469) 782-1888 | |
| (469) 782-1889 |
| Full Name | Reza Assadollah, Dcnp, Pllc |
|---|---|
| Speciality | Clinic/center |
| Location | 4601 Old Shepard Pl Ste 404, Plano, Texas |
| Authorized Official Name and Position | Michelle Marchese (MANAGER) |
| Authorized Official Contact | 2142054995 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Reza Assadollah, Dcnp, Pllc 4601 Old Shepard Pl Ste 404 Plano TX 75093-5277 Ph: (469) 782-1888 | Reza Assadollah, Dcnp, Pllc 4601 Old Shepard Pl Ste 404 Plano TX 75093-5277 Ph: (469) 782-1888 |
| NPI Number | 1922578194 |
|---|---|
| Provider Enumeration Date | 11/30/2018 |
| Last Update Date | 12/27/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922578194 | NPI | - | NPPES |
| 782677 | Other | TX | NP LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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