Provider Demographics
NPI:1972975365
Name:ID EXPERTS,PLLC
Entity type:Organization
Organization Name:ID EXPERTS,PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:HANI
Authorized Official - Middle Name:
Authorized Official - Last Name:KHAIR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:817-714-9403
Mailing Address - Street 1:PO BOX 2388
Mailing Address - Street 2:
Mailing Address - City:COPPELL
Mailing Address - State:TX
Mailing Address - Zip Code:75019-8302
Mailing Address - Country:US
Mailing Address - Phone:817-714-9403
Mailing Address - Fax:972-728-6290
Practice Address - Street 1:3537 S I 35 E STE 220
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76210-6813
Practice Address - Country:US
Practice Address - Phone:817-714-9403
Practice Address - Fax:972-728-6290
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-23
Last Update Date:2024-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP3016207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Single Specialty