Organization
IMAGE RESTORATION P A
Active
Other names
Mounir Mekhail, MD PA
Organization subpart
No
Provider details
NPI number
Authorized official
LOUISE MEKHAIL (OFFICE MANAGER)
(214) 499-1535
Entity
Organization
Contact information
Practice address
4112 RYAN LN, RICHARDSON, TX 75082-3752
(214) 499-1535
(972) 957-2640
Mailing address
4112 RYAN LN, RICHARDSON, TX 75082-3752
(214) 499-1535
(972) 957-2640
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
H2154
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0025HS
BCBS
TX
Enumeration date
06/29/2012
Last updated
03/30/2023
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