Healthcare Provider Details

I. General information

NPI: 1073616272
Provider Name (Legal Business Name): SAUD ALAWADHI D.D.S.,M.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/06/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9400 WESTHEIMER RD SUITE 1
HOUSTON TX
77063-3467
US

IV. Provider business mailing address

9400 WESTHEIMER RD SUITE 1
HOUSTON TX
77063-3467
US

V. Phone/Fax

Practice location:
  • Phone: 713-932-7730
  • Fax: 713-932-7244
Mailing address:
  • Phone: 713-932-7730
  • Fax: 713-932-7244

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License NumberTX20682
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: