Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QG0300X | Family Doctor - Geriatric Medicine | R5065 | TX |
NPI | 1306232509 |
---|---|
Provider Name | Saamia Ahmed |
First Address | Fort Worth, TX 76107-2553 |
Second Address | Irving, TX 75038-2239 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/04/2015 |
Last Update Date | 17/09/2021 |