Provider Demographics
NPI:1467116996
Name:ADIB, AHMED
Entity Type:Individual
Prefix:MR
First Name:AHMED
Middle Name:
Last Name:ADIB
Suffix:
Gender:M
Credentials:
Other - Prefix:MR
Other - First Name:AHMAD
Other - Middle Name:
Other - Last Name:ADIB
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:20675 FM 1093 RD
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-7778
Mailing Address - Country:US
Mailing Address - Phone:281-239-3772
Mailing Address - Fax:
Practice Address - Street 1:20675 FM 1093 RD
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77407-7778
Practice Address - Country:US
Practice Address - Phone:281-239-3772
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-30
Last Update Date:2021-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX68522183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist