Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223E0200X | Endodontist | 36867 | TX |
NPI | 1144818477 |
---|---|
Provider Name | Samar Alhashimi |
First Address | Loma Linda, CA 92354-6712 |
Second Address | Houston, TX 77074-4335 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/01/2021 |
Last Update Date | 03/01/2021 |