Individual
DR. ANIS A ANSARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1948 E HEBRON PKWY, SUITE 110, CARROLLTON, TX 75007-1525
(972) 939-4646
(972) 939-6161
Mailing address
1948 E HEBRON PKWY, SUITE 110, CARROLLTON, TX 75007-1525
(972) 939-4646
(972) 939-6161
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
J6857
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020327201
—
TX
05
—
126997907
—
TX
Enumeration date
02/08/2006
Last updated
12/26/2019
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