Provider Demographics
NPI:1053311050
Name:ASLAM, AHMAD ADNAN (MD)
Entity Type:Individual
Prefix:
First Name:AHMAD
Middle Name:ADNAN
Last Name:ASLAM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 732672
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75373-2672
Mailing Address - Country:US
Mailing Address - Phone:281-351-4911
Mailing Address - Fax:281-351-4915
Practice Address - Street 1:308 HOLDERRIETH BLVD
Practice Address - Street 2:
Practice Address - City:TOMBALL
Practice Address - State:TX
Practice Address - Zip Code:77375-4536
Practice Address - Country:US
Practice Address - Phone:281-351-4911
Practice Address - Fax:281-351-4915
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-01
Last Update Date:2021-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL9607207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXTXB125660Medicare PIN