Provider Demographics
NPI:1306727318
Name:CONCEPT HEALTH CLINIC LLC
Entity type:Organization
Organization Name:CONCEPT HEALTH CLINIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RAFAY
Authorized Official - Middle Name:
Authorized Official - Last Name:LATIF
Authorized Official - Suffix:
Authorized Official - Credentials:MD/MHA
Authorized Official - Phone:972-235-2304
Mailing Address - Street 1:399 W CAMPBELL ROAD
Mailing Address - Street 2:SUITE 304
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75080-3620
Mailing Address - Country:US
Mailing Address - Phone:972-235-2304
Mailing Address - Fax:972-235-8442
Practice Address - Street 1:399 W CAMPBELL RD STE 304
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-3620
Practice Address - Country:US
Practice Address - Phone:972-235-2304
Practice Address - Fax:972-235-8442
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-09
Last Update Date:2025-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric MedicineGroup - Single Specialty