Individual
DR. MUHAMMAD OMAR AZAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13154 COIT RD STE 100, DALLAS, TX 75240-5787
(214) 358-2300
(214) 579-6989
Mailing address
1505 LBJ FWY STE 700, DALLAS, TX 75234-6065
(214) 358-2300
(214) 579-6941
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
R1495
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R1495
TEXAS LICENSE
TX
Enumeration date
08/30/2012
Last updated
11/03/2023
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