Organization
AA OB GYN CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARIQ SHAIKH (MANAGER)
(469) 545-8862
Entity
Organization
Contact information
Practice address
399 W CAMPBELL RD STE 301, RICHARDSON, TX 75080-3620
(194) 078-2193
Mailing address
1100 CEDAR VALLEY DR, IRVING, TX 75063-4417
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S6995
LICENSE
TX
Enumeration date
03/09/2021
Last updated
03/29/2021
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