Individual
DJILLALI BOUDJENAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4425 PLANO PKWY STE 1401, CARROLLTON, TX 75010-5036
(214) 888-7711
Mailing address
PO BOX 867443, PLANO, TX 75086-7443
(214) 888-7711
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
CS00211459
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME130416
FL LICENSE
FL
Enumeration date
08/30/2006
Last updated
08/15/2025
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