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Organization
MITRA CANALES M.D. P.A.
Active
Organization
MITRA CANALES M.D. P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MITRA HAGHIRI-CANALES M.D. (DOCTOR)
(214) 469-0022
Entity
Organization
Contact information
Practice address
4401 COIT RD STE 303, FRISCO, TX 75035-0508
(214) 469-0022
(214) 469-0028
Mailing address
4401 COIT RD STE 303, FRISCO, TX 75035-0508
(214) 469-0022
(214) 469-0028
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
M4801
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0018RQ
BLUE CROSS BLUE SHIELD
TX
Enumeration date
07/17/2008
Last updated
01/06/2009
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