Provider Demographics
NPI:1235365750
Name:GARRETT-PRICE, AHMAD RAHMAN (MD)
Entity Type:Individual
Prefix:DR
First Name:AHMAD
Middle Name:RAHMAN
Last Name:GARRETT-PRICE
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 1:1505 WARREN DR
Mailing Address - Street 2:
Mailing Address - City:DESOTO
Mailing Address - State:TX
Mailing Address - Zip Code:75115-6633
Mailing Address - Country:US
Mailing Address - Phone:214-514-2288
Mailing Address - Fax:
Practice Address - Street 1:8215 WESTCHESTER DR STE 112
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75225-6109
Practice Address - Country:US
Practice Address - Phone:469-800-8000
Practice Address - Fax:469-800-8010
Is Sole Proprietor?:No
Enumeration Date:2009-06-10
Last Update Date:2021-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA123927207Q00000X
TXN9950207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine