Provider Demographics
NPI:1578371464
Name:MEDICAL SPECIALTY GROUP PLLC
Entity type:Organization
Organization Name:MEDICAL SPECIALTY GROUP PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:HAROON
Authorized Official - Middle Name:
Authorized Official - Last Name:RASHEED
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-636-5727
Mailing Address - Street 1:811 S CENTRAL EXPY STE 103
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75080-7439
Mailing Address - Country:US
Mailing Address - Phone:972-310-7121
Mailing Address - Fax:469-660-1349
Practice Address - Street 1:7200 STATE HIGHWAY 161 STE 200
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75039-3830
Practice Address - Country:US
Practice Address - Phone:975-559-3501
Practice Address - Fax:972-559-3529
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-23
Last Update Date:2024-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain MedicineGroup - Multi-Specialty