Provider Demographics
NPI:1518322502
Name:AHMED DARWISH MD
Entity Type:Organization
Organization Name:AHMED DARWISH MD
Other - Org Name:AHMED DARWISH MD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:BROOKING
Authorized Official - Suffix:
Authorized Official - Credentials:CMOM,CMIS
Authorized Official - Phone:940-781-8837
Mailing Address - Street 1:4909 BIG BEND DR
Mailing Address - Street 2:
Mailing Address - City:WICHITA FALLS
Mailing Address - State:TX
Mailing Address - Zip Code:76310-1117
Mailing Address - Country:US
Mailing Address - Phone:940-781-8837
Mailing Address - Fax:940-228-5637
Practice Address - Street 1:4909 BIG BEND DR
Practice Address - Street 2:
Practice Address - City:WICHITA FALLS
Practice Address - State:TX
Practice Address - Zip Code:76310-1117
Practice Address - Country:US
Practice Address - Phone:940-781-8837
Practice Address - Fax:940-228-5637
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-18
Last Update Date:2015-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP8879207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1407142987OtherNPI