Organization
SAS PRIMARY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAMUEL UGO AZUBUIKE MISM (CEO)
(972) 698-0493
Entity
Organization
Contact information
Practice address
4593 MOUNTAIN LAUREL DR, GRAND PRAIRIE, TX 75052-2903
(972) 698-0493
(972) 698-0844
Mailing address
3939 US HIGHWAY 80 E STE 305, MESQUITE, TX 75150-8110
(972) 698-0493
(972) 698-0844
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
06/11/2013
Last updated
06/11/2013
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