<Unavail>
LBN: Sandra Illum Md Pllc
<Unavail> is an health care organization with primary practice located at 17101 Preston Rd Ste 190S , Dallas TX 75248-1331. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Ambulatory Health Care Facilities / Medical Specialty. Allopathic & Osteopathic Physicians / Cardiovascular Disease is the primary health care specialty.
Sandra Illum Md Pllc can be contacted via phone (214) 500-1689, or through Illum, Annika Sandra via phone (214) 377-7576.
Contact Information
Primary practice address
17101 Preston Rd Ste 190S
Dallas TX 75248-1331
Phone: (214) 500-1689
Fax:
Website:
Authorized official contact:
Name: Illum, Annika Sandra Doctor of Medicine (MD)
Phone: (214) 377-7576
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | P1086 | Texas |
| Ambulatory Health Care Facilities / Medical Specialty | 261QM2500X | P1086 | Texas |
Profile Details
| NPI number | 1144761404 |
|---|---|
| LBN Legal business name | Sandra Illum Md Pllc |
| DBA Doing business as | <Unavail> |
| Authorized official | Illum, Annika Sandra Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 20th, 2017 |
| Last updated | Jul 21st, 2022 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144761404 | NPPES |
| Texas | Other | 00U3Z7 | BCBS |
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