Provider Demographics
NPI:1619706652
Name:ALFARRA SOUKIEH PLLC
Entity type:Organization
Organization Name:ALFARRA SOUKIEH PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:RASHED
Authorized Official - Middle Name:
Authorized Official - Last Name:ALFARRA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:319-573-7317
Mailing Address - Street 1:4603 SPRINGHILL ESTATES DR
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75002-5790
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5830 COLLIN MCKINNEY PKWY STE 302
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070-5109
Practice Address - Country:US
Practice Address - Phone:319-573-7317
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-29
Last Update Date:2024-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty