Id Physician Consultation Service Pllc

NPI #1578895116 in Murphy, Texas

Provider Information

NPI Number
1578895116
Entity Type
Organization
Organization Name
Id Physician Consultation Service Pllc
Primary Specialty
Specialist
Enumeration Date
Feb 8, 2010
Last Updated
May 10, 2010

Practice Location

Address
716 BEDELL LN
City
Murphy
State
Texas
ZIP Code
75094-4260
Phone
(214) 914-6873

Authorized Official

Name
MOHANAD BAKLEH, M.D
Title
PHYSICIAN
Phone
(214) 914-6873

Specialties & Taxonomy Codes

Specialty
Specialist

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