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General NPI Number Information
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NPI Number | 1609699891
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Entity Type | Organization
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Legal Business Name | MEDICAL SPECIALTY GROUP PLLC
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Dates
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Enumeration Date | 11/05/2024
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Last Update Date | 11/05/2024
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Provider Practice Location Address
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Address Line | 1202 E SONTERRA BLVD STE 101
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City | SAN ANTONIO
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State | TX
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Zip | 78258-4238
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Country | US
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Telephone | 210-546-1410
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Fax |
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Provider Business Mailing Address
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Address Line | 811 S CENTRAL EXPY STE 103
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City | RICHARDSON
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State | TX
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Zip | 75080-7439
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Country | US
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Telephone | 972-636-5727
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | HAROON RASHEED
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Credential |
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Telephone | 972-636-5727
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number |
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License Number State |
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