Provider Demographics
NPI:1922865914
Name:MENDHA PRIMARY CARE PLLC
Entity Type:Organization
Organization Name:MENDHA PRIMARY CARE PLLC
Other - Org Name:A2Z PRIMARY CARE AND MED SPA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KAZI
Authorized Official - Middle Name:
Authorized Official - Last Name:DUZA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-770-9914
Mailing Address - Street 1:5550 WARREN PKWY STE 120
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-7399
Mailing Address - Country:US
Mailing Address - Phone:813-770-9914
Mailing Address - Fax:469-905-3781
Practice Address - Street 1:850 S SHERMAN ST
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75081
Practice Address - Country:US
Practice Address - Phone:813-770-9914
Practice Address - Fax:469-905-3781
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MENDHA PRIMARY CARE PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-03-05
Last Update Date:2024-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult MedicineGroup - Single Specialty