Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | 27230 | OK |
N | 207QG0300X | Family Doctor - Geriatric Medicine | 284559 | NY |
NPI | 1013238401 |
---|---|
Provider Name | Dr. Ahmad Ghassan Abazid |
First Address | Grand Prairie, TX 75052 |
Second Address | Richardson, TX 75081-5044 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/06/2010 |
Last Update Date | 10/02/2022 |