Provider Demographics
NPI:1588156756
Name:MASTER, BILAL (DPM)
Entity type:Individual
Prefix:
First Name:BILAL
Middle Name:
Last Name:MASTER
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5337 W UNIVERSITY DR
Mailing Address - Street 2:STE 100
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75071-7824
Mailing Address - Country:US
Mailing Address - Phone:972-542-3668
Mailing Address - Fax:972-542-1728
Practice Address - Street 1:2633 DALLAS PKWY STE 100
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-4715
Practice Address - Country:US
Practice Address - Phone:972-403-7733
Practice Address - Fax:972-403-7744
Is Sole Proprietor?:No
Enumeration Date:2018-06-04
Last Update Date:2023-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX3092213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery