Healthcare Provider Details
I. General information
NPI: 1700503620
Provider Name (Legal Business Name): SAMEER SYED, MD, PA
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/21/2022
Last Update Date: 01/26/2024
Certification Date: 01/26/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9456 STATE HIGHWAY 121
FRISCO TX
75035-6067
US
IV. Provider business mailing address
7668 ELDORADO PKWY STE 300
MCKINNEY TX
75070-5753
US
V. Phone/Fax
- Phone: 214-817-4225
- Fax: 972-674-2788
- Phone: 214-817-4225
- Fax: 972-674-2788
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207L00000X |
| Taxonomy | Anesthesiology Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207LP2900X |
| Taxonomy | Pain Medicine (Anesthesiology) Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
SAMEER
ALI
SYED
Title or Position: PRESIDENT
Credential: MD
Phone: 972-370-5771