| Colleyville Md Associates | |
|
305 Boulder Dr Southlake TX 76092-3726 | |
| (682) 559-6333 | |
| (469) 854-2286 |
| Full Name | Colleyville Md Associates |
|---|---|
| Speciality | Family Medicine |
| Location | 305 Boulder Dr, Southlake, Texas |
| Authorized Official Name and Position | Atiya Iqbal (OWNER) |
| Authorized Official Contact | 6825596333 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Colleyville Md Associates 305 Boulder Dr Southlake TX 76092-3726 Ph: (682) 559-6333 | Colleyville Md Associates 305 Boulder Dr Southlake TX 76092-3726 Ph: (682) 559-6333 |
| NPI Number | 1851760979 |
|---|---|
| Provider Enumeration Date | 09/18/2015 |
| Last Update Date | 09/18/2015 |
| Medicare PECOS PAC ID | 1759684681 |
|---|---|
| Medicare Enrollment ID | O20160126002331 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851760979 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Texas) | Primary |
| Provider Name | Mohammad N Uddin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013052406 PECOS PAC ID: 6507886637 Enrollment ID: I20080211000078 |
| Provider Name | Atiya Iqbal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013052570 PECOS PAC ID: 5496775520 Enrollment ID: I20081006000605 |
| Provider Name | Gurdish K Sandhu-kaler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841635885 PECOS PAC ID: 2264675495 Enrollment ID: I20130906000637 |
Mediclink Management Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 415 E Southlake Blvd Ste 100, Southlake, TX 76092 Phone: 817-506-4132 | |
Health Matters Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 116 River Oaks Drive, #100, Southlake, TX 76092 Phone: 505-220-6814 | |
Southlake Hospitalists Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1321 Bay Meadows Dr, Southlake, TX 76092 Phone: 817-521-4747 Fax: 214-279-9273 | |
Rod Sosa Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2009 Woodbury Ct, Southlake, TX 76092 Phone: 972-352-0920 | |
Modern Medical House Calls Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 855 Davis Blvd Ste 500, Southlake, TX 76092 Phone: 817-912-1771 Fax: 940-241-6156 | |
Healthcare Associates Of Southlake Llp Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2106 E State Highway 114, Ste 300, Southlake, TX 76092 Phone: 817-552-4300 | |
Melville Medicine, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1545 E Southlake Blvd Ste 110, Southlake, TX 76092 Phone: 817-600-8725 |