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NPI Code Detail

MEDICARE: MASOUD ALMASI, MD.PA

MEDICARE: MASOUD ALMASI, MD.PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1195191503OTHERTXTPI
2195191506OTHERTXTPI
3W0159425OTHERTXDPS
4335292401OTHERTXGROUP TPI
5M9795OTHERTXLICENSE NO.

General Provider Information

NPI Number : 1508196072
Entity Type Code : Organization
Provider Name (Legal Business Name) : MASOUD ALMASI, MD.PA
Provider Business Mailing Address
First Line : 4200 S LAKE FOREST DR STE 100
Second Line :
City : MCKINNEY
State : TX
Zip : 75070-7346
Country : US
Telephone Number : 214-592-0356
Fax Number : 214-504-9385
Provider Business Practice Location Address
First Line : 4200 S LAKE FOREST DR STE 100
Second Line :
City : MCKINNEY
State : TX
Zip : 75070-7346
Country : US
Telephone Number : 214-592-0356
Fax Number : 214-504-9385
Authorized Official
Title or Position : M.D.
Name : DR. MASOUD ALMASI
Credential : MD
Telephone Number : 214-592-0356
Provider Enumeration Date : 01/06/2010
Last Update Date : 05/06/2015

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