| NPI | 1063524049 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2006-08-31 |
| Last Updated | 2013-10-23 |
| Mailing Address | 3334 Broadway Blvd, Suite 422 Garland, TX 75043-1585 United States Phone: (972) 271-1156 | Fax: (972) 271-1691 📍 View Map |
| Primary Practice Address | 3334 Broadway Blvd, Suite 422 Garland, TX 75043-1585 United States Phone: (972) 271-1156 | Fax: (972) 271-1691 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | TX | 2176448 | — |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 261QM1300X – Clinic/Center, Multi-Specialty | TX | N4380 |
| No | 261QU0200X – Clinic/Center, Urgent Care | TX | N4380 |
| No | 261QP2300X – Clinic/Center, Primary Care | TX | N4380 |
Use our free NPI Lookup tool to find any healthcare provider in the NPPES registry. Search NPI →
About NPI 1063524049
Rakiya Engo Diallo MD is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1063524049. The primary specialty listed is Clinic/Center, Multi-Specialty. The provider is located in Garland, TX. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-08-31. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1063524049?
NPI 1063524049 belongs to Rakiya Engo Diallo MD, a Clinic/Center, Multi-Specialty in Garland, TX. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1063524049 active?
The current status of NPI 1063524049 in the NPPES registry is Active. The record was last updated on 2013-10-23.
What specialty is NPI 1063524049?
NPI 1063524049 is classified under the taxonomy Clinic/Center, Multi-Specialty. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1063524049?
You can verify NPI 1063524049 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1063524049?
The primary practice address on file for NPI 1063524049 is 3334 Broadway Blvd, Garland, TX 75043-1585. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1063524049 issued?
NPI 1063524049 was first issued (enumerated) on 2006-08-31. The NPPES record was last updated on 2013-10-23.
Practice Location Map
Rakiya Engo Diallo is located at 3334 Broadway Blvd, Garland, TX. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Rakiya Engo Diallo. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1063524049. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Clinic/Center, Multi-Specialty | N4380 | TX |
| Clinic/Center, Urgent Care | N4380 | TX |
| Clinic/Center, Primary Care | N4380 | TX |