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Individual

DR. AMER MOIDUDDIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
13601 PRESTON RD, STE 1000W, DALLAS, TX 75240-4911
(972) 715-5000
Mailing address
PO BOX 650426, DALLAS, TX 75265-0426
(972) 715-5000

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
246109-1
NY
207L00000X
Anesthesiology Physician
C55962
CA
207L00000X
Anesthesiology Physician
Primary
N6500
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
217325401
TX
05
217325402
TX
05
217325403
TX
01
8CN122
BCBS
TX
01
P00915783
RAILROAD MEDICARE
TX
Enumeration date
11/12/2008
Last updated
09/22/2025
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