person
Khalillah S Ali, NP
Family Nurse Practitioner in Grand Prairie, Texas
NPI 1972521417

Khalillah S Ali is a Family Nurse Practitioner based in Grand Prairie, TX and is specialized in Family. Khalillah S Ali practices in Grand Prairie, TX and has the professional credentials of NP. The NPI Number for Khalillah S Ali is 1972521417 and holds a License No. AP113331 (Texas).

The current practice location address for Khalillah S Ali is 455 Gotland Dr, Grand Prairie, TX and can be reached out via phone at 469-831-3149.

Location: 455 Gotland Dr, Grand Prairie, TX, 75052-2570
person
Provider Profile Details
NPI Number
1972521417
Provider Name
Khalillah S Ali
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
455 Gotland Dr, Grand Prairie, TX, 75052-2570
Phone Number
469-831-3149
Fax Number
Provider Enumeration Date
07/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
170329003 05 TX
institution
Provider Business Practice Location Address Details
Address
455 Gotland Dr
City
State
Zip
75052-2570
Phone Number
469-831-3149
Fax Number
person
Provider Business Mailing Address Details
Address
455 Gotland Dr
City
State
Zip
75052-2570
Phone Number
469-831-3149
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
682811 (Texas)
Definition
Definition to come...
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Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Clinical Nurse Specialist
Speciality
Holistic
Taxonomy
License No.
AP113331 (Texas)
Definition
Definition to come...
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