Individual
DR. RAKIYA ENGO DIALLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3334 BROADWAY BLVD, SUITE 422, GARLAND, TX 75043-1585
(972) 271-1156
(972) 271-1691
Mailing address
3334 BROADWAY BLVD, SUITE 422, GARLAND, TX 75043-1585
(972) 271-1156
(972) 271-1691
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
N4380
TX
261QP2300X
Primary Care Clinic/Center
N4380
TX
261QU0200X
Urgent Care Clinic/Center
N4380
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2176448
—
TX
Enumeration date
08/31/2006
Last updated
10/23/2013
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