Provider Demographics
NPI:1700425055
Name:GOLDFISH GROUP INC.
Entity Type:Organization
Organization Name:GOLDFISH GROUP INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M.D.
Authorized Official - Prefix:
Authorized Official - First Name:AMR
Authorized Official - Middle Name:
Authorized Official - Last Name:HILAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:702-510-2651
Mailing Address - Street 1:13251 FOWLER DR
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75035-2374
Mailing Address - Country:US
Mailing Address - Phone:702-510-2651
Mailing Address - Fax:844-258-4963
Practice Address - Street 1:6735 SALT CEDAR WAY, BUILDING 1
Practice Address - Street 2:1039-300
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034
Practice Address - Country:US
Practice Address - Phone:702-510-2651
Practice Address - Fax:844-258-4963
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-04
Last Update Date:2020-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center