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NPI Code Detail

MEDICARE: AHMAD EL-BJEIRAMI D.D.S.

MEDICARE: AHMAD EL-BJEIRAMI D.D.S.
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
11223G0001XGeneral Practice Dentistry21948TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
189D372OTHERTXBC/BS

General Provider Information

NPI Number : 1760591168
Entity Type Code : Individual
Provider Name (Legal Business Name) : AHMAD EL-BJEIRAMI D.D.S.
Provider Business Mailing Address
First Line : 308 S. CESAR CHAVEZ AVE.
Second Line :
City : CRYSTAL CITY
State : TX
Zip : 78839-4200
Country : US
Telephone Number : 830-374-2301
Fax Number : 830-374-3368
Provider Business Practice Location Address
First Line : 308 S. CESAR CHAVEZ AVE.
Second Line :
City : CRYSTAL CITY
State : TX
Zip : 78839-4200
Country : US
Telephone Number : 830-374-2301
Fax Number : 830-374-3368
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2006
Last Update Date : 04/28/2011

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