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Organization
RICHARDSON PRIMARYCARE CLINIC LLC
Active
Organization
RICHARDSON PRIMARYCARE CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMAD AMIR M.D. (OWNER)
(972) 437-9210
Entity
Organization
Contact information
Practice address
2821 E PRESIDENT GEORGE BUSH HWY, SUITE 301, RICHARDSON, TX 75082-4266
(972) 437-9210
(972) 437-9240
Mailing address
2821 E PRESIDENT GEORGE BUSH HWY, SUITE 301, RICHARDSON, TX 75082-4266
(972) 437-9210
(972) 437-9240
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
K0604
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0008MA
BLUE CROSS BLUE SHIELD
TX
05
—
170187201
—
TX
Enumeration date
11/19/2007
Last updated
11/19/2014
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