Individual
MOHAMMAD F. AZIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
250 BLOSSOM ST, STE 300, WEBSTER, TX 77598-4204
(281) 604-1300
(281) 724-0225
Mailing address
17448 HIGHWAY 3, STE 200, WEBSTER, TX 77598-4140
(281) 604-1300
(281) 724-0225
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
J3398
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
045236902
—
TX
01
—
7492012
AETNA
TX
01
—
87574Z
HMO BLUE
TX
01
—
8F6720
BCBS
TX
Enumeration date
09/02/2005
Last updated
12/11/2019
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