Healthcare Provider Details

I. General information

NPI: 1932305927
Provider Name (Legal Business Name): BODY FOCUS, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/26/2007
Last Update Date: 07/21/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1700 WEST FM 700
BIG SPRING TX
79720-4120
US

IV. Provider business mailing address

1700 WEST FM 700
BIG SPRING TX
79720-4120
US

V. Phone/Fax

Practice location:
  • Phone: 432-264-1900
  • Fax: 432-264-1901
Mailing address:
  • Phone: 432-264-1900
  • Fax: 432-264-1901

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberK0932
License Number StateTX

VIII. Authorized Official

Name: DR. SAEED AHMED
Title or Position: PRESIDENT
Credential: M.D.
Phone: 432-264-1900