Individual
ALIA SUBHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1800 N BRITAIN RD, IRVING, TX 75061-2630
(214) 266-3000
Mailing address
PO BOX 660599, DALLAS, TX 75266-0599
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
N1907
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
216804901
—
TX
01
—
8CM686
BCBS
TX
01
—
BP1-0022451
INSTITUTIONAL PERMIT
—
Enumeration date
05/31/2007
Last updated
12/04/2012
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