Healthcare Provider Details

I. General information

NPI: 1659537827
Provider Name (Legal Business Name): BASHIR AHMED M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/06/2008
Last Update Date: 07/18/2025
Certification Date: 07/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1820 N LAKE FOREST DR STE 300B
MCKINNEY TX
75071-7653
US

IV. Provider business mailing address

322 BASTROP BLVD
FAIRVIEW TX
75069-1283
US

V. Phone/Fax

Practice location:
  • Phone: 469-631-0935
  • Fax: 214-216-0435
Mailing address:
  • Phone: 817-554-6808
  • Fax: 817-601-6940

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number25IA2207800
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number2012006653
License Number StateMO
# 3
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number712-L
License Number StateMS
# 4
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberQ4003
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: