Moshiree Thomas, Banafsheh
Moshiree Thomas, Banafsheh is an individual health care provider with primary practice located at 801 Conover Dr , Grand Prairie TX 75051-1519. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Moshiree Thomas, Banafsheh can be contacted via phone (214) 266-3400.Contact Information
Primary practice address
801 Conover Dr
Grand Prairie TX 75051-1519
Phone: (214) 266-3400
Fax: (214) 266-3499
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | Q4814 | Texas |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ME88476 | Florida |
Profile Details
| NPI number | 1205833365 |
|---|---|
| LBN Legal business name | Moshiree Thomas, Banafsheh |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 5th, 2005 |
| Last updated | Apr 25th, 2016 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205833365 | NPPES |
| Florida | MEDICAID | 269727100 |
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