ALLAN S. DISRAELI, M.D., P.A.
Medical Practice at Shiloh Rd, Garland, TX

License number
Texas D3853
Category
Medical Practice
Type
Gynecology
Owner
Name: DR. ALLAN S. DISRAELI M.D.
Title: PRESIDEMT
Phone: (972) 272-5458
Address
Address
333 N Shiloh Rd SUITE 105, Garland, TX 75042
National Provider ID: 1497864490
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ALLAN S. DISRAELI, M.D., PA

Frisco, TX  -  Garland, TX

Status:
Inactive
Doing business as:
Allan S. Disraeli, M.D., PA
Registration:
Nov 10, 2004
Addresses:
7450 Stonebrook Pkwy APT 4214, Frisco, TX 75034 (Mailing)
333 N Shiloh Rd, Garland, TX 75042
State ID:
0800414569
Business type:
Professional Association
President, Member, Executive Committee:
Allan S. Disraeli President, Member, Executive Committee, inactive
TIN:
32035506123

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