Organization
BLUE SKY HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAHZAD ALLAWALA MD (CFO)
(970) 709-7556
Entity
Organization
Contact information
Practice address
407 N CEDAR RIDGE DR, #320, DUNCANVILLE, TX 75116-3197
(972) 709-7556
(972) 709-7611
Mailing address
P.O. BOX 687, DESOTO, TX 75123
(972) 709-7556
(972) 709-7611
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
M9791
TX
2084P0804X
Child & Adolescent Psychiatry Physician
M9791
TX
Other
Enumeration date
05/18/2010
Last updated
03/20/2013
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