MEDICARE: DR. ALY A EL HAG M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	K0732	TX

General Provider Information

NPI Number	:	1023212859
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALY A EL HAG M.D.

Provider Business Mailing Address
First Line	:	8941 COIT RD
Second Line	:	100
City	:	PLANO
State	:	TX
Zip	:	75024-7209
Country	:	US
Telephone Number	:	972-668-2200
Fax Number	:	972-668-2206

Provider Business Practice Location Address
First Line	:	8941 COIT RD
Second Line	:	100
City	:	PLANO
State	:	TX
Zip	:	75024-7209
Country	:	US
Telephone Number	:	972-668-2200
Fax Number	:	972-668-2206

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/14/2007
Last Update Date	:	07/08/2007

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