Individual
AZEZA UDDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1500 S MAIN ST, FORT WORTH, TX 76104-4917
(817) 702-3636
(817) 927-8769
Mailing address
PO BOX 732973, DALLAS, TX 75373-2973
(817) 702-8450
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
A99607
CA
2084P0800X
Psychiatry Physician
Primary
R9304
TX
Other
Enumeration date
01/07/2008
Last updated
12/03/2018
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