Provider Demographics
NPI:1588678437
Name:HIRJEE, LAILA N (MD)
Entity Type:Individual
Prefix:MRS
First Name:LAILA
Middle Name:N
Last Name:HIRJEE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:12400 COIT RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75251-2069
Mailing Address - Country:US
Mailing Address - Phone:214-824-3333
Mailing Address - Fax:214-824-3131
Practice Address - Street 1:12400 COIT RD
Practice Address - Street 2:SUITE 100
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75251-2069
Practice Address - Country:US
Practice Address - Phone:214-824-3333
Practice Address - Fax:214-824-3131
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-28
Last Update Date:2014-08-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXL4440207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX160874703Medicaid
TXP01073392OtherRR PTAN
TXL4440OtherMEDICAL LICENSE NUMBER
TX160874703Medicaid
TXTXB142979Medicare PIN