Individual
DOAA ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
18951 N MEMORIAL DR STE 103, HUMBLE, TX 77338-4217
(281) 540-8409
Mailing address
909 FROSTWOOD DR STE 1.405, HOUSTON, TX 77024-2301
(713) 338-5519
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
V2684
TX
208M00000X
Hospitalist Physician
Primary
V2684
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/10/2021
Last updated
09/12/2024
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