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NPI Code Detail

MEDICARE: MR. MOHAMMED O AHMED PA-C

MEDICARE:  MR. MOHAMMED O AHMED  PA-C
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
1363A00000XPhysician AssistantPA04701TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2P00336798OTHERTXRRMC

General Provider Information

NPI Number : 1235153396
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. MOHAMMED O AHMED PA-C
Provider Business Mailing Address
First Line : 502 S CLOSNER BLVD
Second Line :
City : EDINBURG
State : TX
Zip : 78539-4660
Country : US
Telephone Number : 956-292-0100
Fax Number : 956-383-1906
Provider Business Practice Location Address
First Line : 502 S CLOSNER BLVD
Second Line :
City : EDINBURG
State : TX
Zip : 78539-4660
Country : US
Telephone Number : 956-292-0100
Fax Number : 956-383-1906
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2006
Last Update Date : 09/10/2008

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Directions to “ MR. MOHAMMED O AHMED PA-C” Practice Location

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