Organization
CAREFIRST MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HARESH KUMAR BOGHARA MD (CEO)
(214) 391-1158
Entity
Organization
Contact information
Practice address
9353 ELAM RD, DALLAS, TX 75217-4181
(214) 391-1158
(214) 398-0212
Mailing address
9353 ELAM RD, DALLAS, TX 75217-4181
(214) 391-1158
(214) 398-0212
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
Other
Enumeration date
11/08/2018
Last updated
12/03/2020
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