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NPI Code Detail

MEDICARE: MR. ANTONIO S ALKHAFAJI

MEDICARE:  MR. ANTONIO S ALKHAFAJI
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
1172A00000XDriver34320510TX

General Provider Information

NPI Number : 1811506892
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ANTONIO S ALKHAFAJI
Provider Business Mailing Address
First Line : 1601 PURPLETOP DR
Second Line :
City : ARLINGTON
State : TX
Zip : 76002-3727
Country : US
Telephone Number : 682-888-3827
Fax Number :
Provider Business Practice Location Address
First Line : 1601 PURPLETOP DR
Second Line :
City : ARLINGTON
State : TX
Zip : 76002-3727
Country : US
Telephone Number : 682-888-3827
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2020
Last Update Date : 07/27/2020

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Directions to “ MR. ANTONIO S ALKHAFAJI ” Practice Location

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