Healthcare Provider Details

I. General information

NPI: 1457125981
Provider Name (Legal Business Name): DALLAS PREMIER PRIMARY CARE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/15/2023
Last Update Date: 02/22/2024
Certification Date: 02/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4987 W UNIVERSITY DR STE 150
MCKINNEY TX
75071-5074
US

IV. Provider business mailing address

4987 W UNIVERSITY DR STE 150
MCKINNEY TX
75071-5074
US

V. Phone/Fax

Practice location:
  • Phone: 469-530-4932
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: SARA SADIQ ALI
Title or Position: PRESIDENT
Credential:
Phone: 469-530-4932