Individual
SAJID ALI SURVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
855 MONTGOMERY ST, FORT WORTH, TX 76107-2553
(817) 735-2235
Mailing address
PO BOX 99335, FORT WORTH, TX 76199-0335
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
25MB08571600
NJ
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
P9972
TX
208100000X
Physical Medicine & Rehabilitation Physician
242569
NY
208100000X
Physical Medicine & Rehabilitation Physician
25MB08571600
NJ
208100000X
Physical Medicine & Rehabilitation Physician
Primary
P9972
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0211681
—
NJ
05
—
333959001
—
TX
01
—
8EJ200
BCBS
TX
01
—
P01488199
RAILROAD MEDICARE
TX
Enumeration date
12/18/2006
Last updated
09/16/2015
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