MEDICARE: SHAMES FOAAD ALI BOLAD

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	124Q00000X	Dental Hygienist	DH34837	FL

General Provider Information

NPI Number	:	1104799808
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHAMES FOAAD ALI BOLAD

Provider Business Mailing Address
First Line	:	CARL R. DARNALL AMC
Second Line	:	590 MEDICAL CENTER RD
City	:	FORT HOOD
State	:	TX
Zip	:	76544-5060
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	CARL R. DARNALL AMC
Second Line	:	590 MEDICAL CENTER RD
City	:	FORT HOOD
State	:	TX
Zip	:	76544-5060
Country	:	US
Telephone Number	:	254-288-8888
Fax Number	:

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

Provider Enumeration Date	:	09/29/2025
Last Update Date	:	12/10/2025

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Directions to “ SHAMES FOAAD ALI BOLAD ” Practice Location

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