Individual
MOHAMMED AZAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3204 TEAROSE DR, RICHARDSON, TX 75082-3760
(630) 930-0776
Mailing address
3204 TEAROSE DR, RICHARDSON, TX 75082-3760
(630) 930-0776
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5101021280
MI
Other
Enumeration date
06/17/2014
Last updated
07/10/2018
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