Individual
SHADAB ANWAR ANSARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10203 STONE CACTUS DR, HOUSTON, TX 77095-7183
(347) 393-9878
Mailing address
10203 STONE CACTUS DR, HOUSTON, TX 77095-7183
(347) 393-9878
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
TX
Other
Enumeration date
10/12/2018
Last updated
10/12/2018
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