Healthcare Provider Details

I. General information

NPI: 1679977292
Provider Name (Legal Business Name): USMAN AFZAL PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/10/2014
Last Update Date: 10/10/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5201 HARRY HINES BLVD
DALLAS TX
75235-7708
US

IV. Provider business mailing address

9000 VANTAGE POINT DR APT 600
DALLAS TX
75243-0523
US

V. Phone/Fax

Practice location:
  • Phone: 214-590-8000
  • Fax:
Mailing address:
  • Phone: 916-248-1112
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License NumberP9783
License Number StateTX

VIII. Authorized Official

Name: USMAN AFZAL
Title or Position: CEO
Credential: MD
Phone: 916-248-1112