Individual
AMJAD ANSARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7515 MAIN ST STE 610, HOUSTON, TX 77030-4515
(713) 795-0208
Mailing address
68 HIGHWOOD PL, LOUISVILLE, KY 40206-3282
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
34625
TX
Other
Enumeration date
11/08/2018
Last updated
11/08/2018
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