Provider Demographics
NPI:1346436300
Name:BARIATRIC & MINIMALLY INVASIVE SURGERY OF NORTH TEXAS
Entity type:Organization
Organization Name:BARIATRIC & MINIMALLY INVASIVE SURGERY OF NORTH TEXAS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:IKRAM
Authorized Official - Middle Name:
Authorized Official - Last Name:KURESHI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-335-7303
Mailing Address - Street 1:PO BOX 913418
Mailing Address - Street 2:
Mailing Address - City:SHERMAN
Mailing Address - State:TX
Mailing Address - Zip Code:75091-3418
Mailing Address - Country:US
Mailing Address - Phone:903-818-7208
Mailing Address - Fax:888-965-9987
Practice Address - Street 1:204 MEDICAL DR STE 260
Practice Address - Street 2:
Practice Address - City:SHERMAN
Practice Address - State:TX
Practice Address - Zip Code:75092-6366
Practice Address - Country:US
Practice Address - Phone:903-465-6400
Practice Address - Fax:903-465-6400
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-24
Last Update Date:2020-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty