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
Fax: (214) 266-3499
Website:

Health care specialties

SpecialtyCodeLicense #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 8 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 1205833365 NPPES
Florida MEDICAID 269727100

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