AJAY J PATHAK, MD PA
Osteopathic Medicine at Eldorado Pkwy, Oak Point, TX

License number
Texas J6202
Category
Osteopathic Medicine
Type
Internal Medicine
Owner
Name: AJAY PATHAK MD
Title: OWNER
Phone: (972) 533-2280
Address
Address 2
800 W Eldorado Pkwy SUITE 102, Oak Point, TX 75068
5480 Buena Vista Dr, Frisco, TX 75034
National Provider ID: 1225395015
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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AJAY J. PATHAK, M.D., PA

Frisco, TX  -  Garland, TX

Status:
Inactive
Doing business as:
Ajay J. Pathak, M.D., PA<br>Prime Family Medicine<br>Vip Med Spa LLC
Registration:
Nov 3, 2006
Addresses:
5480 Buena Vis Dr, Frisco, TX 75034 (Mailing)
5480 Buena Vis Dr, Garland, TX 75043
State ID:
0800729442
President , Director , Member:
Ajay J. Pathak President , Director , Member, inactive
TIN:
32038476571

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