Healthcare Provider Details

I. General information

NPI: 1376478271
Provider Name (Legal Business Name): ALHAN FAHANDEZHSAADI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALHAN SAADI

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

965 N RESLER DR STE 105
EL PASO TX
79912-1419
US

IV. Provider business mailing address

240 DESERT PASS ST APT 2701
EL PASO TX
79912-3630
US

V. Phone/Fax

Practice location:
  • Phone: 915-585-2020
  • Fax:
Mailing address:
  • Phone: 214-290-5074
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number42698
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: