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Organization
PATIENT FIRST MEDICAL GROUP PA
Active
Organization
PATIENT FIRST MEDICAL GROUP PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMAD N UDDIN M.D. (OWNER AND CEO)
(682) 557-4042
Entity
Organization
Contact information
Practice address
7151 COLLEYVILLE BLVD, SUITE 103, COLLEYVILLE, TX 76034-8029
(682) 557-4042
(817) 789-4187
Mailing address
PO BOX 96221, SOUTHLAKE, TX 76092-0127
(682) 557-4042
(817) 789-4187
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M8396
TX
207Q00000X
Family Medicine Physician
N0121
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0070SD
BCBS
TX
05
—
308124201
—
TX
Enumeration date
01/27/2009
Last updated
06/30/2015
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