# HEAL 360 PRIMARY CARE PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588022800
- **Authorized official:** DR. MOHAMMED MOHIUDDIN (CEO)
- **Authorized official phone:** (972) 900-6009

## Contact information

- **Practice address:** 2806 W FM 544, WYLIE, TX 75098-7022
- **Practice address phone:** (972) 226-8900
- **Practice address fax:** (972) 218-0554
- **Mailing address:** 1313 BRAVURA DR, PLANO, TX 75074-0107
- **Mailing address phone:** (972) 226-8900
- **Mailing address fax:** (469) 861-8625

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/01/2016
- **Last updated:** 08/11/2023