Individual
ALIA R MAHMOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2333 MANOR DR, BRYAN, TX 77802-1907
(979) 823-7327
Mailing address
1716 GRAY STONE DR, BRYAN, TX 77807-2600
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
2025922
TX
Other
Enumeration date
11/09/2009
Last updated
11/09/2009
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