Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | L5217 | TX |
N | 207QG0300X | Family Doctor - Geriatric Medicine | L5217 | TX |
NPI | 1093781353 |
---|---|
Provider Name | Dr. Asma Aftab Ahmad |
First Address | Cypress, TX 77429-6200 |
Second Address | Cypress, TX 77429-6200 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/02/2006 |
Last Update Date | 24/02/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1921058-02 | (05) | TX |
I04777 | (02) | TX |