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Organization
KSALEH LLC
Active
Organization
KSALEH LLC
Active
Other names
Greenville Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
SADIA AZIZ OFFICE MANGER (OFFICE MANAGER)
(214) 934-9267
Entity
Organization
Contact information
Practice address
4201 MEDICAL CENTER DR STE 200, MCKINNEY, TX 75069-1769
(214) 934-9267
(469) 930-0197
Mailing address
720 FRISCO HILLS BLVD, LITTLE ELM, TX 75068-5297
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
414950201
—
TX
Enumeration date
09/11/2020
Last updated
11/30/2020
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