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Organization
MASS EFFECT MEDICAL GROUP PLLC
Active
Organization
MASS EFFECT MEDICAL GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERIF M LATIF MD (OWNER)
(520) 250-7440
Entity
Organization
Contact information
Practice address
401 AME DR, APT 1103, DENTON, TX 76207
(214) 260-7745
(877) 442-9313
Mailing address
12015 QUINCY LN, DALLAS, TX 75230-2121
(940) 202-0789
(940) 241-4022
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
N2620
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1144511353
GRP NPI
—
Enumeration date
04/21/2011
Last updated
06/14/2018
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