Legal Business Name
A1b Healthcare
Also Known As
A1b Healthcare
NPI Number
1114488327
NPI Type
Organization
Enumeration Date
03/29/2019
Specialties
(Taxonomies)Name
Code
174400000X
261QM0850X
207Q00000X
261QH0100X
261QP3300X
261QU0200X
Primary Taxonomy
Yes
No
No
No
No
No
Contact
Information
Purpose
Mailing
Location
Address
5521 MONTHAVEN DR
771 E SOUTHLAKE BLVD
City
Fort Worth
Southlake
State
TX
TX
Postal Code
76137-4387
76092-6341
Country
US
US
Telephone Number
(817) 715-6166
(817) 715-6166
Authorized Official
Name
Parvaneh Y
Title or Position
FNP/CLINICIAN,OWNER
Telephone Number
(817) 715-6166
Identifiers
Identifier
1346457751
1275979056
1760882518
Identifier State
Unknown
Unknown
Unknown
Identifier Issuer
PSYCHIATRIST, PAIN MEDICINE
FAMILY MEDICINE
NPI
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 03/29/2019
Provider Address
Other Specialists in Southlake, Texas:
Angela G Bowers, Md Pa
May also be known as Southlake Dermatology
Southlake, TXSpecialty: Specialist (Primary)
Las Colinas Orthopedic Surgery And Sports Medicine P.A.
Southlake, TXSpecialties: Durable Medical Equipment & Medical Supplies (Primary)Specialist
Clifton L. Cox Ii M D P A
May also be known as Cope Center For Colorectal & Pelvic Health
Southlake, TXSpecialties: Colon & Rectal Surgery Physician (Primary)Specialist