Individual
IMAN H ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2036 BEDFORD RD, BEDFORD, TX 76021-5709
(817) 685-8018
(817) 685-9484
Mailing address
2036 BEDFORD RD, BEDFORD, TX 76021-5709
(817) 685-8018
(817) 685-9484
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
K9974
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0303661-01
—
TX
01
—
K 9974
LICENSE #
TX
Enumeration date
06/16/2006
Last updated
03/07/2023
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