Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223D0001X | Dental Public Health | 37298 | TX |
NPI | 1649652793 |
---|---|
Provider Name | Dr. Tayyaba S Ahmed |
First Address | Allen, TX 75013-5691 |
Second Address | Dallas, TX 75211-2632 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/06/2015 |
Last Update Date | 07/09/2021 |