Organization
EMERGENCY CARE OF LAKEWOOD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KASHIF H ANSARI M.D (OWNER/CEO)
(469) 202-8646
Entity
Organization
Contact information
Practice address
1926 SKILLMAN ST, DALLAS, TX 75206-7954
(469) 202-8646
Mailing address
1926 SKILLMAN ST, DALLAS, TX 75206-7954
(469) 202-8646
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
Primary
—
—
Other
Enumeration date
09/18/2014
Last updated
11/09/2016
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