MEDICARE: DR. AHMAD RAHMAN GARRETT-PRICE MD

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	A123927	CA
2	207Q00000X	Family Medicine Physician	N9950	TX

General Provider Information

NPI Number	:	1235365750
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AHMAD RAHMAN GARRETT-PRICE MD

Provider Business Mailing Address
First Line	:	1505 WARREN DR
Second Line	:
City	:	DESOTO
State	:	TX
Zip	:	75115-6633
Country	:	US
Telephone Number	:	214-514-2288
Fax Number	:	214-433-6403

Provider Business Practice Location Address
First Line	:	136 GLASS ST STE 140
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75207-6930
Country	:	US
Telephone Number	:	866-383-6230
Fax Number	:	214-433-6403

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

Provider Enumeration Date	:	06/10/2009
Last Update Date	:	05/14/2024

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