Individual
DR. MICKY S AHLUWALIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6200 W PARKER RD, PLANO, TX 75093-7939
(972) 668-7460
(972) 668-7467
Mailing address
2521 TIMBER COVE LN, PLANO, TX 75093-8832
(972) 668-7460
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
J0418
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
033733901
—
TX
01
—
MDJ0418
WORK COMP
TX
Enumeration date
06/22/2006
Last updated
08/18/2008
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