Provider Demographics
NPI:1841586179
Name:IRST HEALTH
Entity Type:Organization
Organization Name:IRST HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MANISHA
Authorized Official - Middle Name:S
Authorized Official - Last Name:PARIKH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-432-6551
Mailing Address - Street 1:13601 PRESTON ROAD
Mailing Address - Street 2:#E550
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75240-4947
Mailing Address - Country:US
Mailing Address - Phone:972-432-6551
Mailing Address - Fax:214-217-4004
Practice Address - Street 1:7200 NORTH STATE HIGHWAY 161
Practice Address - Street 2:#300
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75039
Practice Address - Country:US
Practice Address - Phone:972-393-8067
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-24
Last Update Date:2011-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM2805207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty