Individual
RIDA MOHAMED SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
332 E POLK ST APT 601, RICHARDSON, TX 75081-4144
(214) 606-9606
Mailing address
332 E POLK ST APT 601, RICHARDSON, TX 75081-4144
(214) 606-9606
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
07/21/2021
Last updated
07/21/2021
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