Healthcare Provider Details

I. General information

NPI: 1609699891
Provider Name (Legal Business Name): MEDICAL SPECIALTY GROUP PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/05/2024
Last Update Date: 11/05/2024
Certification Date: 11/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1202 E SONTERRA BLVD STE 101
SAN ANTONIO TX
78258-4238
US

IV. Provider business mailing address

811 S CENTRAL EXPY STE 103
RICHARDSON TX
75080-7439
US

V. Phone/Fax

Practice location:
  • Phone: 210-546-1410
  • Fax:
Mailing address:
  • Phone: 972-636-5727
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: HAROON RASHEED
Title or Position: CEO
Credential:
Phone: 972-636-5727