Healthcare Provider Details

I. General information

NPI: 1659617868
Provider Name (Legal Business Name): DR AFTAB S. AHMAD MD FAMILY PRACTICE, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/14/2012
Last Update Date: 07/15/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9802 FM 1960 W BYPASS RD SUITE 175
HUMBLE TX
77338-3501
US

IV. Provider business mailing address

9802 FM 1960 W BYPASS RD SUITE 175
HUMBLE TX
77338-3501
US

V. Phone/Fax

Practice location:
  • Phone: 281-446-4273
  • Fax: 281-446-4275
Mailing address:
  • Phone: 281-446-4273
  • Fax: 281-446-4275

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: AFTAB S AHMAD
Title or Position: OWNER
Credential: MD
Phone: 281-446-4273