Individual
FADI ALASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5580 N SHILOH RD STE 200A, GARLAND, TX 75044-6614
(469) 443-0004
(972) 854-7872
Mailing address
5580 N SHILOH RD STE 200A, GARLAND, TX 75044-6614
(469) 443-0004
(972) 854-7872
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
285071
NY
208000000X
Pediatrics Physician
Primary
T9049
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04529333
—
NY
Enumeration date
08/01/2013
Last updated
09/26/2024
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