Individual provider · Type 1 NPI
Rakiya Engo Diallo, MD
Multi-Specialty Clinic/Center · Garland, TX
NPI number
1063524049
Active
Practice location
3334 Broadway Blvd, Suite 422
Garland, TX 75043-1585
Fax (972) 271-1691
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Multi-Specialty Clinic/Center Primary | 261QM1300X | N4380 (TX) |
| Urgent Care Clinic/Center | 261QU0200X | N4380 (TX) |
| Primary Care Clinic/Center | 261QP2300X | N4380 (TX) |
Multi-Specialty Clinic/Center: Definition to come...
2 other providers at this address
About NPI 1063524049
Rakiya Engo Diallo, MD's National Provider Identifier is 1063524049, issued on Aug 31, 2006. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Garland, TX. The record was last updated on Oct 23, 2013.