Individual
DR. MAHEEN ADAM WARDAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6565 FANNIN ST, HOUSTON, TX 77030-2703
(713) 441-2194
(713) 441-1495
Mailing address
PO BOX 840853, DALLAS, TX 75284-0853
(972) 715-5000
(972) 715-9976
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
N8470
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
288369602
—
TX
01
—
8EC774
BCBS
TX
01
—
P01305888
RR MEDICARE
TX
Enumeration date
06/21/2011
Last updated
05/18/2020
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