Healthcare Provider Details

I. General information

NPI: 1124841614
Provider Name (Legal Business Name): AYISHA OBAID
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/04/2024
Last Update Date: 11/04/2024
Certification Date: 11/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4500 HILLCREST RD STE 140
FRISCO TX
75035-5419
US

IV. Provider business mailing address

2332 ALL SAINTS LN
PLANO TX
75025-5536
US

V. Phone/Fax

Practice location:
  • Phone: 469-331-9933
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: