Individual
CHAUDRI SHAKOOR AHMED AWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4920 NE STALLINGS DR, NACOGDOCHES, TX 75965-1254
(936) 569-9481
Mailing address
58 WATERFORD DR, NACOGDOCHES, TX 75965-8717
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
C00042008
TX
Other
Enumeration date
11/07/2006
Last updated
07/08/2007
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