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440 W Lyndon B Johnson Fwy Ste 415, Irving, TX 75063-3839 | |
(727) 946-0004 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Ophthalmology |
Location | 440 W Lyndon B Johnson Fwy Ste 415, Irving, Texas |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912550815 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Provider Name | Rehan Ahmed |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1033348180 PECOS PAC ID: 1951544493 Enrollment ID: I20130830000430 |
Provider Name | Maria Q Husain |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1851611024 PECOS PAC ID: 9032339551 Enrollment ID: I20141006001227 |
Mailing Address | Practice Location Address |
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Po Box 142401, Irving, TX 75014-2401 Ph: (727) 946-0004 | 440 W Lyndon B Johnson Fwy Ste 415, Irving, TX 75063-3839 Ph: (727) 946-0004 |