Healthcare Provider Details

I. General information

NPI: 1962611830
Provider Name (Legal Business Name): AAMIR ABDULKADER AMIN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/21/2007
Last Update Date: 05/19/2023
Certification Date: 05/19/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 W ARBROOK BLVD STE 200
ARLINGTON TX
76014-3176
US

IV. Provider business mailing address

400 W ARBROOK BLVD STE 200
ARLINGTON TX
76014-3176
US

V. Phone/Fax

Practice location:
  • Phone: 817-784-1238
  • Fax: 844-292-1463
Mailing address:
  • Phone: 817-784-1238
  • Fax: 844-292-1463

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207UN0901X
TaxonomyNuclear Cardiology Physician
License NumberM6499
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberM6499
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License NumberM6499
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: