Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0000X | Obstetrician | BP10054930 | TX |
NPI | 1366819070 |
---|---|
Provider Name | Ahmed Abobakr Aly Mohamed Nassr |
First Address | Houston, TX 77030-2351 |
Second Address | Houston, TX 77030-2351 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/08/2015 |
Last Update Date | 28/08/2015 |