Provider Demographics
NPI:1467213132
Name:OMAR WELFARE MEDICAL CENTER
Entity Type:Organization
Organization Name:OMAR WELFARE MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KIRAN
Authorized Official - Middle Name:
Authorized Official - Last Name:AHMED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-490-0264
Mailing Address - Street 1:11507 S HIGHWAY 6, BLOCK B, STE F
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77498-4933
Mailing Address - Country:US
Mailing Address - Phone:832-944-5154
Mailing Address - Fax:
Practice Address - Street 1:11507 S HIGHWAY 6, BLOCK B, STE F
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77498-4933
Practice Address - Country:US
Practice Address - Phone:832-944-5154
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-19
Last Update Date:2024-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty