Individual
ABDUL MOHAMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10604 TUBE DR UNIT 104, HURST, TX 76053-7938
(214) 677-2875
Mailing address
10604 TUBE DR UNIT 104, HURST, TX 76053-7938
(214) 677-2875
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
10/18/2022
Last updated
10/18/2022
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