Organization
CRESCENT CARDIOLOGY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FAYAK SHAMEEM KAMILI M.D. (DIRECTOR)
(214) 794-3511
Entity
Organization
Contact information
Practice address
8401 MEMORIAL LN, #7445, PLANO, TX 75024-2285
(214) 794-3511
(214) 291-5829
Mailing address
8401 MEMORIAL LN, #7445, PLANO, TX 75024-2285
(214) 794-3511
(214) 291-5829
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
N4507
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1164642666
INDIVIDUAL NPI
—
Enumeration date
08/11/2011
Last updated
08/11/2011
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