Ghadir Issa MD PA

NPI #1396920922 in Desoto, Texas

Provider Information

NPI Number: 1396920922
Entity Type: Organization
Organization Name: Ghadir Issa MD PA
Primary Specialty: Pediatrics
Enumeration Date: Jan 2, 2008
Last Updated: Mar 1, 2019

Practice Location

Address: 947 SCOTLAND DRIVE
Address 2: SUITE 101
City: Desoto
State: Texas
ZIP Code: 75115-2093
Phone: (214) 217-4011

Authorized Official

Name: DR. GHADIR A ISSA, MD
Title: PRESIDENT
Phone: (214) 217-4011

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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