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NPI Code Detail

MEDICARE: MEHAK DAWOOD

MEDICARE:   MEHAK  DAWOOD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist73510TX

General Provider Information

NPI Number : 1720813215
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEHAK DAWOOD
Provider Business Mailing Address
First Line : 3401 ALTA MERE DR
Second Line :
City : FORT WORTH
State : TX
Zip : 76116-7111
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3401 ALTA MERE DR
Second Line :
City : FORT WORTH
State : TX
Zip : 76116-7111
Country : US
Telephone Number : 817-763-5133
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/04/2024
Last Update Date : 09/04/2024

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Directions to “ MEHAK DAWOOD ” Practice Location

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