Provider Demographics
NPI:1750028957
Name:PERIOPERATIVE AND INTERNAL MEDICINE GROUP PLLC
Entity Type:Organization
Organization Name:PERIOPERATIVE AND INTERNAL MEDICINE GROUP PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMAL
Authorized Official - Middle Name:QAMAR
Authorized Official - Last Name:LONE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-577-1824
Mailing Address - Street 1:8220 WALNUT HILL LN STE 600
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-4433
Mailing Address - Country:US
Mailing Address - Phone:214-238-3074
Mailing Address - Fax:214-238-3608
Practice Address - Street 1:8220 WALNUT HILL LN STE 600
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-4433
Practice Address - Country:US
Practice Address - Phone:214-238-3074
Practice Address - Fax:214-238-3608
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-18
Last Update Date:2022-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Multi-Specialty