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Individual

ALAA ABDALLA DAGHLAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
221 W. COLORADO BLVD., PAVILION II SUITE 425, DALLAS, TX 75208
(214) 947-3231
(214) 947-3239
Mailing address
221 W. COLORADO BLVD., PAVILION II SUITE 425, DALLAS, TX 75208
(214) 947-3231
(214) 947-3239

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA14177
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PA14177
PA
TX
Enumeration date
09/13/2017
Last updated
10/27/2021
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