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NPI Code Detail

MEDICARE: DR. AFREEN AISHA ANSARI DDS

MEDICARE: DR. AFREEN AISHA ANSARI DDS
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
1390200000XStudent in an Organized Health Care Education/Training Program
21223G0001XGeneral Practice Dentistry36900TX

General Provider Information

NPI Number : 1851924633
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. AFREEN AISHA ANSARI DDS
Provider Business Mailing Address
First Line : 3114 ORCHARD BEND DR
Second Line :
City : SUGAR LAND
State : TX
Zip : 77498-7312
Country : US
Telephone Number : 832-312-1794
Fax Number :
Provider Business Practice Location Address
First Line : 6729 AIRLINE DR
Second Line :
City : HOUSTON
State : TX
Zip : 77076-3522
Country : US
Telephone Number : 713-325-5189
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/19/2020
Last Update Date : 08/12/2021

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