Individual
MOHAMMAD AHMAD AZZAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5513 DOCTORS DR, EDINBURG, TX 78539-5563
(956) 362-8570
(956) 362-8575
Mailing address
PO BOX 4449, MCALLEN, TX 78502-4449
(956) 362-8570
(956) 362-8575
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1172151
TX
363LF0000X
Family Nurse Practitioner
1172151
TX
363LG0600X
Gerontology Nurse Practitioner
Primary
1172151
TX
Other
Enumeration date
09/07/2017
Last updated
12/19/2024
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