HEAL 360 PRIMARY CARE PLLC NPI 1588022800

NPI Information

HEAL 360 PRIMARY CARE PLLC is a general practice in Plano, TX. HEAL 360 PRIMARY CARE PLLC NPI is 1588022800. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4013 14TH ST
401B
PLANO, TX
ZIP 75074-125
Phone: (972) 226-8900
Fax: (469) 861-8625

The provider's authorized official is Mohammed Mohiuddin .
The authorized official title is Ceo and has the following contact phone number (972) 226-8900.

The CLIA number assigned to this NPI record is 45D2250229 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/1/2016 and was last updated on 2/1/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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