Organization
MEDICAL ASSOCIATES OF DALLAS PLLC
Active
Organization
MEDICAL ASSOCIATES OF DALLAS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GHOLAMREZA ASSADOLLAH FNP (SOLE MEMBER)
(469) 503-1916
Entity
Organization
Contact information
Practice address
6380 LBJ FWY STE 290, DALLAS, TX 75240-6416
(972) 991-1153
Mailing address
PO BOX 794564, DALLAS, TX 75379-4564
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
09/18/2019
Last updated
01/27/2026
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