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Organization
VITALSFUSION PRIMARY CARE PLLC
Active
Organization
VITALSFUSION PRIMARY CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FAKHRUDIN A MOHAMED MD (OWNER)
(773) 710-8081
Entity
Organization
Contact information
Practice address
940 W STACY RD STE 110, ALLEN, TX 75013-5215
(773) 710-8081
Mailing address
940 W STACY RD STE 110, ALLEN, TX 75013-5215
(773) 710-8081
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
03/17/2022
Last updated
03/17/2022
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