Individual
AHMADJAWID GHULLAMJAILANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9618 HUEBNER RD STE 111, SAN ANTONIO, TX 78240-1775
(210) 943-0999
Mailing address
330 KITTY HAWK RD APT 906, UNIVERSAL CITY, TX 78148-3839
(121) 088-7429
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
19-108
TX
246ZC0007X
Surgical Assistant
—
—
Other
Enumeration date
12/28/2020
Last updated
12/28/2020
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