Provider Demographics
NPI:1114223237
Name:AHA FAMILY CLINIC, PLLC
Entity Type:Organization
Organization Name:AHA FAMILY CLINIC, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ASLAM
Authorized Official - Middle Name:AHMED
Authorized Official - Last Name:SHARIFF
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:956-690-4012
Mailing Address - Street 1:994 E HIDALGO AVE
Mailing Address - Street 2:
Mailing Address - City:RAYMONDVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78580-4095
Mailing Address - Country:US
Mailing Address - Phone:956-690-4012
Mailing Address - Fax:956-690-4026
Practice Address - Street 1:994 E HIDALGO AVE
Practice Address - Street 2:
Practice Address - City:RAYMONDVILLE
Practice Address - State:TX
Practice Address - Zip Code:78580-4095
Practice Address - Country:US
Practice Address - Phone:956-690-4012
Practice Address - Fax:956-690-4026
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-07
Last Update Date:2011-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN5392207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXPENDINGMedicare PIN