Individual
DR. OWAIS M. IDRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13192 DALLAS PKWY STE 610, FRISCO, TX 75033-4248
(469) 213-5969
(833) 362-1209
Mailing address
13192 DALLAS PKWY STE 610, FRISCO, TX 75033-4248
(469) 213-5969
(833) 362-1209
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35121408
OH
207RC0000X
Cardiovascular Disease Physician
35121408
OH
207RC0000X
Cardiovascular Disease Physician
T2398
TX
207RI0011X
Interventional Cardiology Physician
Primary
T2398
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1R6220
MEDICARE
TX
01
—
1R6221
MEDICARE
TX
Enumeration date
08/01/2010
Last updated
11/23/2021
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