Provider Demographics
NPI:1619260023
Name:AHMED, ABDUL-AZIZ R (MD)
Entity Type:Individual
Prefix:DR
First Name:ABDUL-AZIZ
Middle Name:R
Last Name:AHMED
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 E DOVE AVE
Mailing Address - Street 2:A
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-2262
Mailing Address - Country:US
Mailing Address - Phone:956-664-2600
Mailing Address - Fax:
Practice Address - Street 1:800 E DOVE AVE
Practice Address - Street 2:A
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-2262
Practice Address - Country:US
Practice Address - Phone:956-664-2600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-17
Last Update Date:2015-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ5959207PS0010X, 207PS0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207PS0010XAllopathic & Osteopathic PhysiciansEmergency MedicineSports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX350260101Medicaid
TX442665ZLN3Medicare PIN