Individual
ATA AHMAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11301 FALLBROOK DR STE 204, HOUSTON, TX 77065-4270
(281) 970-8484
(281) 970-8485
Mailing address
PO BOX 540088, HOUSTON, TX 77254-0088
(713) 850-1190
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
K9961
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0090EY
BCBS
TX
05
—
31525101
—
TX
Enumeration date
08/05/2006
Last updated
11/29/2023
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