Kassab, Wafik M
Kassab, Wafik M is an sole proprietor health care provider with primary practice located at 2241 Peggy Ln Suite B, Garland TX 75042-5732. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Kassab, Wafik M can be contacted via phone (972) 276-3878.Contact Information
Primary practice address
2241 Peggy Ln Suite B
Garland TX 75042-5732
Phone: (972) 276-3878
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | E1213 | Texas |
Profile Details
| NPI number | 1760524094 |
|---|---|
| LBN Legal business name | Kassab, Wafik M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 13th, 2007 |
| Last updated | Feb 1st, 2008 - about 16 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 | 1760524094 | NPPES |
| Texas | MEDICAID | P000BQ475 |
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