Organization
DALLAS CARDIOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOIZ SHAFIQ MD (OWNER/MEMBER)
(214) 924-4073
Entity
Organization
Contact information
Practice address
560 W MAIN ST STE 205, LEWISVILLE, TX 75057-3604
(972) 972-4252
(972) 972-4253
Mailing address
391 E. LAS COLINAS BLVD., STE. 130 #335, IRVING, TX 75039-6225
(972) 972-4252
(877) 277-3002
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
M4527
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1610360
WELLCARE
TX
01
—
QMP000003903277
MOLINA
TX
Enumeration date
04/01/2018
Last updated
01/20/2022
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