Organization
HARDEEP S DHALIWAL MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HARDEEP S DHALIWAL MD (PRESIDENT)
(972) 691-4444
Entity
Organization
Contact information
Practice address
3871 LONG PRAIRIE RD, FLOWER MOUND, TX 75028-1569
(972) 691-4444
(972) 691-4440
Mailing address
3871 LONG PRAIRIE RD, FLOWER MOUND, TX 75028-1569
(972) 691-4444
(972) 691-4440
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0026AH
BCBS
TX
05
—
080258901
—
TX
Enumeration date
10/02/2006
Last updated
05/28/2015
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