Id Clinic Consultants PLLC
Internal Medicine, Infectious Disease in Richardson, TX. Organization (NPI-2).
NPI number1073060331
StatusActive
Last updated in NPPESSep 4, 2016
Details
- NPI
- 1073060331
- Entity type
- Organization (NPI-2)
- Legal business name
- Id Clinic Consultants PLLC
- Organization subpart
- No
- Enumeration date
- Sep 4, 2016
- Last updated
- Sep 4, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RI0200X | Internal Medicine, Infectious Disease | K9168 | TX | Yes |
Practice location
908 Audelia RdSte 200 #323
Richardson, TX 75081-5166
Phone 972-947-3200 · Fax 972-947-3201
Mailing address
908 Audelia RdSte 200 #323
Richardson, TX 75081-5166
Phone 972-947-3200 · Fax 972-947-3201
Authorized official
Zakir Hussain A Shaikh
Director
9729473200
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