Khalillah S Ali is a Holistic in Grand Prairie, Texas. Khalillah S Ali practices all healthcare services and medical treatments related to Holistic. The NPI Number for Khalillah S Ali is 1972521417. The last update date is 2023-09-27.
Khalillah S Ali's current location address is 455 Gotland Dr, Grand Prairie, Texas. You can contact this provider via phone number 4698313149. The mailing address for Khalillah S Ali is 455 Gotland Dr, Grand Prairie, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Khalillah S Ali |
|---|---|
| Address | 455 Gotland Dr, Grand Prairie, Texas |
| Phone Number | 4698313149 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1972521417 |
|---|---|
| Provider Enumeration Date | 2006-07-17 |
| Last Updated Date | 2023-09-27 |
Provider Mailing Address Detail
| Address | 455 Gotland Dr |
|---|---|
| City | Grand Prairie |
| State | Texas (TX) |
| Post Code | 750522570 |
| Phone Number | 4698313149 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Holistic |
|---|---|
| Taxonomy | 364Sh1100X |
| Licence No | AP113331 |
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Definition: An advanced practice registered nurse expert in whole-person, integrative nursing care. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 170329003 | TX | -- |
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What is the unique identifier code issued to Khalillah S Ali by the Centers for Medicare & Medicaid Services (CMS)?
The Khalillah S Ali has been assigned the NPI (National Provider Identifier) 1972521417. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Khalillah S Ali located?
The Khalillah S Ali is located at 455 Gotland Dr, Grand Prairie, TX 750522570.
What is the Khalillah S Ali's specialty and taxonomy code?
The Khalillah S Ali's specialty is Holistic, and the corresponding taxonomy code is 364Sh1100X.
On what date did the Khalillah S Ali receive the assignment of its 1972521417 from the Centers for Medicare & Medicaid Services?
The Khalillah S Ali was issued its 1972521417 by the Centers for Medicare & Medicaid Services on 2006-07-17.
As of what date were the details related to Khalillah S Ali most recently updated or revised?
The information pertaining to Khalillah S Ali, including its address, specialty, and other relevant details, was last updated or revised on 2023-09-27.
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