Healthcare Provider Details

I. General information

NPI: 1831025543
Provider Name (Legal Business Name): GEHAD NASSER SAAD MOHAMED MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/20/2026
Last Update Date: 06/20/2026
Certification Date: 06/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3601 4TH ST STOP 6211
LUBBOCK TX
79430-6211
US

IV. Provider business mailing address

5529 50TH ST APT 1810
LUBBOCK TX
79414-1657
US

V. Phone/Fax

Practice location:
  • Phone: 806-790-7730
  • Fax:
Mailing address:
  • Phone: 214-499-2009
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberBP10099144
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: