1285624254 NPI number — DR. AMER SULEMAN M. D.

Table of content: DR. AMER SULEMAN M. D. (NPI 1285624254)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1285624254 NPI number — DR. AMER SULEMAN M. D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SULEMAN
Provider First Name:
AMER
Provider Middle Name:
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M. D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1285624254
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/11/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7777 FOREST LANE
Provider Second Line Business Mailing Address:
BLDG A STE 236
Provider Business Mailing Address City Name:
DALLAS
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75230-2506
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
972-566-4327
Provider Business Mailing Address Fax Number:
972-566-4532

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4541 MEDICAL CENTER DR STE 800
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MCKINNEY
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75069-1651
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
214-504-9942
Provider Business Practice Location Address Fax Number:
214-504-9940
Provider Enumeration Date:
10/21/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207RC0001X , with the licence number:  K2597 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: P00228115 . This is a "RAIL ROAD MEDICARE" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 104045304 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 8R6880 . This is a "BCBS" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: G46849 . This is a "UPIN" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 104045305 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".




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