Provider Demographics
NPI:1770029977
Name:NORTH DALLAS STANDARD HEALTH, LLC
Entity Type:Organization
Organization Name:NORTH DALLAS STANDARD HEALTH, LLC
Other - Org Name:FURQAN RIZVI, MD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:FURQAN
Authorized Official - Middle Name:
Authorized Official - Last Name:RIZVI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:469-213-6400
Mailing Address - Street 1:952 STARDRIFT AVE
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-1607
Mailing Address - Country:US
Mailing Address - Phone:469-213-6400
Mailing Address - Fax:469-213-6473
Practice Address - Street 1:4500 HILLCREST RD STE 115
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75035-5403
Practice Address - Country:US
Practice Address - Phone:469-213-6400
Practice Address - Fax:469-213-6473
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-11
Last Update Date:2017-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ26112084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent PsychiatryGroup - Multi-Specialty