Provider Demographics
NPI:1497407878
Name:ALMAHROOQ, SUBRIEN
Entity type:Individual
Prefix:
First Name:SUBRIEN
Middle Name:
Last Name:ALMAHROOQ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1250 STATE ST APT 5112
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75082-2049
Mailing Address - Country:US
Mailing Address - Phone:469-515-3014
Mailing Address - Fax:
Practice Address - Street 1:601 E FM 544 STE 400
Practice Address - Street 2:
Practice Address - City:MURPHY
Practice Address - State:TX
Practice Address - Zip Code:75094-4068
Practice Address - Country:US
Practice Address - Phone:972-442-4700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-26
Last Update Date:2022-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
363A00000X
TXPA15276363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant