Basic Information
| Provider Information | |||||||||
| NPI: | 1881032969 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ALI | ||||||||
| FirstName: | SAHAR | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2800 CORPORATE CIR | ||||||||
| Address2: | SUITE 103 | ||||||||
| City: | FLOWER MOUND | ||||||||
| State: | TX | ||||||||
| PostalCode: | 750285640 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9728296613 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1301 3RD ST | ||||||||
| Address2: | SUITE 200 | ||||||||
| City: | WICHITA FALLS | ||||||||
| State: | TX | ||||||||
| PostalCode: | 763012245 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9407675145 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/11/2013 | ||||||||
| LastUpdateDate: | 03/27/2017 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | R0178 | TX | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.