NPI Code Details Logo

NPI 1457125981

NPI 1457125981 : DALLAS PREMIER PRIMARY CARE PLLC : MCKINNEY, TX

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1457125981
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    DALLAS PREMIER PRIMARY CARE PLLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    11/15/2023
-----------------------------------------------------
    Last Update Date     |    02/22/2024
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    4987 W UNIVERSITY DR STE 150 
-----------------------------------------------------
    City                 |    MCKINNEY
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    75071-5074
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    469-530-4932
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    4987 W UNIVERSITY DR STE 150 
-----------------------------------------------------
    City                 |    MCKINNEY
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    75071-5074
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    PRESIDENT
-----------------------------------------------------
    Name                 |     SARA  SADIQ ALI 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    469-530-4932
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    207RI0200X
-----------------------------------------------------
    Taxonomy Name        |    Infectious Disease Physician
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.