Memon, Muhammad Anis

Memon, Muhammad Anis is an individual health care provider with primary practice located at 2800 E Broad St Suite 204, Mansfield TX 76063-6409. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Memon, Muhammad Anis can be contacted via phone (817) 477-5500.

Contact Information

Primary practice address
2800 E Broad St Suite 204 Mansfield TX 76063-6409
Phone: (817) 477-5500
Fax: (817) 453-5503
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X M1931 Texas
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 154192 Texas

Profile Details

NPI number 1780691923
LBN Legal business name Memon, Muhammad Anis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2006
Last updated Sep 24th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780691923 NPPES
Texas Other P00262265 MEDICARE RR
Texas Other 0001NA MEDICARE RR
Texas MEDICAID 180095501 MEDICARE RR
Texas Other 5915477 MEDICARE RR

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