Provider Demographics
NPI:1568975571
Name:PREVENTA FAMILY CLINIC, PLLC
Entity Type:Organization
Organization Name:PREVENTA FAMILY CLINIC, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ARSALAN
Authorized Official - Middle Name:
Authorized Official - Last Name:AHMED
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-634-7800
Mailing Address - Street 1:15200 SOUTHWEST FWY STE 285
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-3866
Mailing Address - Country:US
Mailing Address - Phone:281-634-7800
Mailing Address - Fax:281-634-7807
Practice Address - Street 1:15200 SOUTHWEST FWY STE 285
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-3866
Practice Address - Country:US
Practice Address - Phone:281-634-7800
Practice Address - Fax:281-634-7807
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-13
Last Update Date:2022-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA09248207Q00000X
VA0101245512207ZP0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No207ZP0101XAllopathic & Osteopathic PhysiciansPathologyAnatomic PathologyGroup - Multi-Specialty