Individual
ARSALLA ISLAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3100 N TARRANT PKWY STE 100, FORT WORTH, TX 76177-8616
(817) 562-5905
(817) 562-5906
Mailing address
PO BOX 2078, DECATUR, TX 76234-6156
(817) 562-5905
(817) 562-5906
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
N0123
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
196308405
—
TX
01
—
8ER572
BCBS
TX
Enumeration date
06/13/2007
Last updated
01/25/2023
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