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Organization

PILOTSPAN LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
FRED IKHILAE MANAGING PARTNER (COO)
(806) 810-4030
Entity
Organization

Contact information

Practice address
3010 LBJ FWY STE 1223, DALLAS, TX 75234-7770
(806) 301-2070
(806) 810-4060
Mailing address
3010 LBJ FWY STE 1223, DALLAS, TX 75234-7770
(806) 810-4030

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary

Other

Enumeration date
09/15/2025
Last updated
09/24/2025
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