Provider Demographics
NPI:1477205334
Name:ABDELHADI, AHMED (PT)
Entity Type:Individual
Prefix:
First Name:AHMED
Middle Name:
Last Name:ABDELHADI
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5345 N GARLAND AVE STE 370
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75040-2799
Mailing Address - Country:US
Mailing Address - Phone:469-573-3469
Mailing Address - Fax:469-573-3469
Practice Address - Street 1:5345 N GARLAND AVE
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75040-2783
Practice Address - Country:US
Practice Address - Phone:469-573-3469
Practice Address - Fax:469-573-3469
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-21
Last Update Date:2023-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1327348225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist