Provider Demographics
NPI:1619353828
Name:AHMED, FOYAZ
Entity Type:Individual
Prefix:
First Name:FOYAZ
Middle Name:
Last Name:AHMED
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:411 BUCKINGHAM RD APT 616
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75081-5778
Mailing Address - Country:US
Mailing Address - Phone:817-262-3565
Mailing Address - Fax:214-579-9384
Practice Address - Street 1:411 BUCKINGHAM RD APT 616
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75081-5778
Practice Address - Country:US
Practice Address - Phone:817-262-3565
Practice Address - Fax:214-579-9384
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-11
Last Update Date:2015-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX24139501343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)