Individual provider · Type 1 NPI
Mark Ali Bahreini, PA-C
Medical Physician Assistant · Plano, TX
NPI number
1396260147
Active
Practice location
6928 Amethyst Ln
Plano, TX 75023-1938
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA11374 (TX) |
| Surgical Physician Assistant | 363AS0400X | PA11474 (TX) |
Medical Physician Assistant: Definition to come...
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About NPI 1396260147
Mark Ali Bahreini, PA-C's National Provider Identifier is 1396260147, issued on Aug 12, 2017. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Plano, TX. The record was last updated on Jul 21, 2022.