Individual
MOHD AL ALAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSA
Contact information
Practice address
1234 ANCRUM HILL LN, SUGAR LAND, TX 77479-6709
(713) 816-8219
Mailing address
1234 ANCRUM HILL LN, SUGAR LAND, TX 77479-6709
(713) 816-8219
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
SA00309
TX
246ZS0410X
Surgical Technologist
03-117
TX
246ZS0410X
Surgical Technologist
SA00309
TX
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
03/26/2007
Last updated
12/03/2021
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