Healthcare Provider Details

I. General information

NPI: 1508225426
Provider Name (Legal Business Name): SLD SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/19/2016
Last Update Date: 02/19/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15110 DALLAS PKWY SUITE 470
DALLAS TX
75248-4635
US

IV. Provider business mailing address

2703 DUBLIN PARK DR
PARKER TX
75094-3819
US

V. Phone/Fax

Practice location:
  • Phone: 214-354-6781
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State

VIII. Authorized Official

Name: MASOUD GHAFFAR
Title or Position: OWNER
Credential:
Phone: 214-354-6781