Provider Demographics
NPI:1700150828
Name:TEXAS MEDICAL SPECIALTY, INC.
Entity Type:Organization
Organization Name:TEXAS MEDICAL SPECIALTY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:AFZAL
Authorized Official - Middle Name:
Authorized Official - Last Name:NIKAEIN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD; HCLD
Authorized Official - Phone:972-566-5761
Mailing Address - Street 1:7777 FOREST LN
Mailing Address - Street 2:SUITE C-768
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75230-2571
Mailing Address - Country:US
Mailing Address - Phone:972-566-5761
Mailing Address - Fax:972-566-7720
Practice Address - Street 1:7777 FOREST LN
Practice Address - Street 2:SUITE C-768
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75230-2571
Practice Address - Country:US
Practice Address - Phone:972-566-5761
Practice Address - Fax:972-566-7720
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-07
Last Update Date:2012-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO6341291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory