# IDEAL INFECTIOUS DISEASE &WOUND CARE CENTER PLLC

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

## Provider details

- **NPI number:** 1700401262
- **Authorized official:** KHAWAR KHURSHID MD (OWNER)
- **Authorized official phone:** (682) 738-3835

## Contact information

- **Practice address:** 4105 HIGHWAY 121 STE 604, BEDFORD, TX 76021-3039
- **Practice address phone:** (682) 738-3835
- **Practice address fax:** (682) 738-3834
- **Mailing address:** 4105 HIGHWAY 121 STE 604, BEDFORD, TX 76021-3039
- **Mailing address phone:** (682) 738-3835
- **Mailing address fax:** (682) 738-3834

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RI0200X | Infectious Disease Physician | — | NULL | Yes |
| 207RI0200X | Infectious Disease Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/10/2020
- **Last updated:** 03/07/2023
