ID PHYSICIAN CONSULTATION SERVICE PLLC
Medical Practice at Bedell Ln, Plano, TX

License number
Texas M7840
Category
Medical Practice
Type
Specialist
Owner
Name: MOHANAD BAKLEH M.D
Title: PHYSICIAN
Phone: (214) 914-6873
Address
Address
716 Bedell Ln, Plano, TX 75094
National Provider ID: 1578895116
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ID PHYSICIAN CONSULTATION SERVICE, PLLC

716 Bedell Ln, Plano, TX 75094

Doing business as:
Id Physician Consultation Service, Pllc
Registration:
Feb 3, 2010
State ID:
0801225282
Business type:
Domestic Limited Liability Company (LLC)
MANAGING M, Medical Doctor, Principal, Managing Member:
Mohanad Bakleh (MANAGING M, Medical Doctor, Principal, Managing Member), 716 Bedell Ln, Plano, TX 75094
TIN:
32041151302

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