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Contact Information

KHALILLAH S ALI, NP
455 GOTLAND DR
GRAND PRAIRIE, TX75052-2570
 Phone: 469-831-3149
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Holistic

364SH1100X 89 Certified Clinical Nurse Specialist
Indicates primary specialty

NPI Profile & details for KHALILLAH S ALI · (Female)

NPI Number 1972521417
Status Active
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 07/17/2006
Last updated 09/27/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • TX License # 682811
  • TX License # AP113331
  • TX Medicaid 170329003
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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