Organization
HEAL 360 PRIMARY CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMMED MOHIUDDIN (CEO)
(972) 900-6009
Entity
Organization
Contact information
Practice address
2806 W FM 544, WYLIE, TX 75098-7022
(972) 226-8900
(972) 218-0554
Mailing address
1313 BRAVURA DR, PLANO, TX 75074-0107
(972) 226-8900
(469) 861-8625
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
02/01/2016
Last updated
08/11/2023
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