Organization
IDEAL INFECTIOUS DISEASE &WOUND CARE CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KHAWAR KHURSHID MD (OWNER)
(682) 738-3835
Entity
Organization
Contact information
Practice address
4105 HIGHWAY 121 STE 604, BEDFORD, TX 76021-3039
(682) 738-3835
(682) 738-3834
Mailing address
4105 HIGHWAY 121 STE 604, BEDFORD, TX 76021-3039
(682) 738-3835
(682) 738-3834
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R4861
MEDICAL LICENSE
TX
Enumeration date
06/10/2020
Last updated
03/07/2023
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