=====================================================
General NPI Number Information
=====================================================
NPI Number | 1881934107
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CONSULTING PHYSICIANS OF FRISCO LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/22/2013
-----------------------------------------------------
Last Update Date | 02/22/2013
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3388 W MAIN ST STE 100
-----------------------------------------------------
City | FRISCO
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75033-4552
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 972-388-4968
-----------------------------------------------------
Fax | 214-272-3948
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 261043
-----------------------------------------------------
City | PLANO
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75026-1043
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 972-388-4968
-----------------------------------------------------
Fax | 214-272-3948
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | MALIK A SAEED
-----------------------------------------------------
Credential | M.D.
-----------------------------------------------------
Telephone | 972-388-4968
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 174400000X
-----------------------------------------------------
Taxonomy Name | Specialist
-----------------------------------------------------
License Number | N4712
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------