Individual
AZHAR AHMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
311 N DALLAS AVE, LAMESA, TX 79331-5519
(806) 870-5555
(806) 870-5559
Mailing address
311 N DALLAS AVE, LAMESA, TX 79331-5519
18068939897
(806) 870-5559
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
33326
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33326
LICENSE
TX
Enumeration date
07/18/2017
Last updated
03/17/2018
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