MEDICARE: REHAN HUSAIN ALI M.D.

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	207Q00000X	Family Medicine Physician	35.094066	OH
2	207Q00000X	Family Medicine Physician	Q2093	TX
3	207Q00000X	Family Medicine Physician	ME105935	FL
4	207Q00000X	Family Medicine Physician	13422	NV
5	207Q00000X	Family Medicine Physician	0101245870	VA

General Provider Information

NPI Number	:	1225278583
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REHAN HUSAIN ALI M.D.

Provider Business Mailing Address
First Line	:	PO BOX 9101
Second Line	:
City	:	COPPELL
State	:	TX
Zip	:	75019-9494
Country	:	US
Telephone Number	:	972-745-7500
Fax Number	:	972-745-4336

Provider Business Practice Location Address
First Line	:	3520 NW CENTRE DR
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76135-3612
Country	:	US
Telephone Number	:	817-375-2100
Fax Number	:	817-237-0022

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

Provider Enumeration Date	:	02/26/2009
Last Update Date	:	03/31/2015

Similar Medicare Providers

1144771882 — AMI DAUGHRITY P.A.
Practice Location Address:

3520 NW CENTRE DR
FORT WORTH, TX
76135-3612

Practice Phone: 817-375-2100
Practice Fax: 817-237-0022

1043671696 — NIKKI J CLARK FNP-BC
Practice Location Address:

3520 NW CENTRE DR
LAKE WORTH, TX
76135-3612

Practice Phone: 701-364-4999
Practice Fax:

1811213572 — MATTHEW LEE BLACKBURN DO
Practice Location Address:

3520 NW CENTRE DR
FORT WORTH, TX
76135-3612

Practice Phone: 817-375-2100
Practice Fax: 817-237-0022

1114260981 — ANURADHA NAMUDURI D.O.
Practice Location Address:

3520 NW CENTRE DR
FORT WORTH, TX
76135-3612

Practice Phone: 214-529-3062
Practice Fax:

1225346158 — ANTHONY E PINCKNEY
Practice Location Address:

3612 ADA AVE
FORT WORTH, TX
76105-3422

Practice Phone: 682-230-5417
Practice Fax:

1407640816 — CELENA D FANNIN LCSW
Practice Location Address:

3612 WREN AVE
FORT WORTH, TX
76133-2131

Practice Phone: 817-718-8366
Practice Fax:

Directions to “ REHAN HUSAIN ALI M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.