Organization
GHADIR ISSA MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GHADIR A ISSA MD (PRESIDENT)
(214) 217-4011
Entity
Organization
Contact information
Practice address
947 SCOTLAND DRIVE, SUITE 101, DESOTO, TX 75115-2093
(214) 217-4011
(214) 217-4016
Mailing address
947 SCOTLAND DRIVE, SUITE 101, DESOTO, TX 75115-2093
(214) 217-4011
(214) 217-4016
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
J5165
TX
Other
Enumeration date
01/02/2008
Last updated
03/01/2019
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