MEDICARE: ANGELA I AHMED NURSE PRACTITIONER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	11036300	FL
2	363LF0000X	Family Nurse Practitioner	0038028	OH
3	363LF0000X	Family Nurse Practitioner	1090180	TX

General Provider Information

NPI Number	:	1013736321
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGELA I AHMED NURSE PRACTITIONER

Provider Business Mailing Address
First Line	:	13313 SOUTHWEST FWY STE 170
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77478-3660
Country	:	US
Telephone Number	:	908-242-6730
Fax Number	:	346-900-0333

Provider Business Practice Location Address
First Line	:	13313 SOUTHWEST FWY STE 170
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77478-3660
Country	:	US
Telephone Number	:	908-242-6730
Fax Number	:	346-900-0333

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/04/2024
Last Update Date	:	03/04/2026

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