Provider Demographics
NPI: | 1881934107 |
---|---|
Name: | CONSULTING PHYSICIANS OF FRISCO LLC |
Entity type: | Organization |
Organization Name: | CONSULTING PHYSICIANS OF FRISCO LLC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | OWNER |
Authorized Official - Prefix: | |
Authorized Official - First Name: | MALIK |
Authorized Official - Middle Name: | A |
Authorized Official - Last Name: | SAEED |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | MD |
Authorized Official - Phone: | 972-388-4968 |
Mailing Address - Street 1: | PO BOX 261043 |
Mailing Address - Street 2: | |
Mailing Address - City: | PLANO |
Mailing Address - State: | TX |
Mailing Address - Zip Code: | 75026-1043 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 972-388-4968 |
Mailing Address - Fax: | 214-272-3948 |
Practice Address - Street 1: | 3388 W MAIN ST |
Practice Address - Street 2: | STE 100 |
Practice Address - City: | FRISCO |
Practice Address - State: | TX |
Practice Address - Zip Code: | 75033-4552 |
Practice Address - Country: | US |
Practice Address - Phone: | 972-388-4968 |
Practice Address - Fax: | 214-272-3948 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2013-02-22 |
Last Update Date: | 2013-02-22 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
TX | N4712 | 174400000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 174400000X | Other Service Providers | Specialist | Group - Multi-Specialty |