Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223E0200X | Endodontist | TX20682 | TX |
NPI | 1073616272 |
---|---|
Provider Name | Dr. Saud Alawadhi |
First Address | Houston, TX 77063-3467 |
Second Address | Houston, TX 77063-3467 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/09/2006 |
Last Update Date | 08/07/2007 |