MEDICARE: DR. MEHRAZ JAMAL UDDIN DMD

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	1223G0001X	General Practice Dentistry	36534	TX

General Provider Information

NPI Number	:	1457965980
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MEHRAZ JAMAL UDDIN DMD

Provider Business Mailing Address
First Line	:	2615 SOUTHWEST FWY STE 190
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77098-4611
Country	:	US
Telephone Number	:	832-531-3009
Fax Number	:

Provider Business Practice Location Address
First Line	:	2615 SOUTHWEST FWY STE 190
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77098-4611
Country	:	US
Telephone Number	:	713-364-1616
Fax Number	:

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

Provider Enumeration Date	:	09/02/2020
Last Update Date	:	06/01/2026

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