Provider Demographics
NPI:1144408295
Name:SURGICAL SUITES OF MCKINNEY, PA
Entity Type:Organization
Organization Name:SURGICAL SUITES OF MCKINNEY, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MOHAMMAD
Authorized Official - Middle Name:
Authorized Official - Last Name:TARIQ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-317-4666
Mailing Address - Street 1:4201 MEDICAL CENTER DR
Mailing Address - Street 2:SUIE 220
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75069-1764
Mailing Address - Country:US
Mailing Address - Phone:214-317-4666
Mailing Address - Fax:214-317-4667
Practice Address - Street 1:4201 MEDICAL CENTER DR
Practice Address - Street 2:SUIE 220
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75069-1764
Practice Address - Country:US
Practice Address - Phone:214-317-4666
Practice Address - Fax:214-317-4667
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-31
Last Update Date:2008-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP3300XAmbulatory Health Care FacilitiesClinic/CenterPain