| Organization Name: | ADVANCED COMPREHENSIVE MEDICAL P.A. |
| NPI Number: | 1114052362 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARK S SHAFIK (OWNER/DIRECTOR) |
| Mailing Address: | 832 W Spring Creek Pkwy Ste 300 A Plano |
| State: | TX US |
| Postal Code: | 750234635 |
| Phone Number: | 9724244243 |
| Fax Number: | 9724246211 |
| NPI Enumeration Date: | 02/21/2007 |
| NPI Last Update Date: | 10/07/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |