Organization
BNA MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BASHAR NIMAN ALSHAREEF MD (OWNER)
(973) 573-1774
Entity
Organization
Contact information
Practice address
150 BRAND RD STE 700, MURPHY, TX 75094-3734
(469) 445-2445
Mailing address
3515 ARISTA BLVD APT 27, TEXARKANA, TX 75503-1196
(973) 573-1774
Taxonomy
Speciality
Code
Description
License number
State
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
Primary
P0534
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NOT SURE
—
Enumeration date
08/09/2017
Last updated
07/13/2021
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