Healthcare Provider Details

I. General information

NPI: 1083525117
Provider Name (Legal Business Name): MAG ONE MEDICAL DIAGNOSTIC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 CHISHOLM PL STE 200
PLANO TX
75075-6948
US

IV. Provider business mailing address

200 CHISHOLM PL STE 200
PLANO TX
75075-6948
US

V. Phone/Fax

Practice location:
  • Phone: 517-615-1979
  • Fax:
Mailing address:
  • Phone: 517-615-1979
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ABRAR ULLAH BAIG
Title or Position: OWNER
Credential:
Phone: 517-615-1979