Organization
COLORECTAL ASSOCIATES OF TEXAS PA
Active
Other names
COLON AND RECTAL ASSOCIATES OF TEXAS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAID HASHEMIPOUR MD (OWNER)
(972) 612-0430
Entity
Organization
Contact information
Practice address
1705 OHIO DR STE 100, PLANO, TX 75093-5256
(972) 612-0430
(844) 585-6193
Mailing address
1705 OHIO DR STE 100, PLANO, TX 75093-5256
(972) 612-0430
(844) 585-6193
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
H2490
TX
208C00000X
Colon & Rectal Surgery Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
448077
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00C71V
BCBS
TX
05
—
149902201
—
TX
01
—
3330HM
BCBS
TX
01
—
CK2732
MEDICARE RAILROAD
TX
Enumeration date
05/27/2006
Last updated
08/08/2024
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