MEDICARE: MEDICAL SPECIALTY GROUP PLLC

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	208VP0000X	Pain Medicine Physician

General Provider Information

NPI Number	:	1578371464
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDICAL SPECIALTY GROUP PLLC

Provider Business Mailing Address
First Line	:	811 S CENTRAL EXPY STE 103
Second Line	:
City	:	RICHARDSON
State	:	TX
Zip	:	75080-7439
Country	:	US
Telephone Number	:	972-310-7121
Fax Number	:	469-660-1349

Provider Business Practice Location Address
First Line	:	7200 STATE HIGHWAY 161 STE 200
Second Line	:
City	:	IRVING
State	:	TX
Zip	:	75039-3830
Country	:	US
Telephone Number	:	975-559-3501
Fax Number	:	972-559-3529

Authorized Official
Title or Position	:	CEO
Name	:	HAROON RASHEED
Credential	:	MD
Telephone Number	:	972-636-5727

Provider Enumeration Date	:	12/23/2024
Last Update Date	:	12/23/2024

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Directions to “MEDICAL SPECIALTY GROUP PLLC ” Practice Location

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