Provider Demographics
NPI:1689305856
Name:HAIDAR, AMIRA HIND (DDS)
Entity Type:Individual
Prefix:DR
First Name:AMIRA
Middle Name:HIND
Last Name:HAIDAR
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13242 NORTHSPRING BEND LN
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-5754
Mailing Address - Country:US
Mailing Address - Phone:713-962-9544
Mailing Address - Fax:
Practice Address - Street 1:9099 KATY FWY STE 140
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-1632
Practice Address - Country:US
Practice Address - Phone:713-465-1860
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-20
Last Update Date:2022-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX386471223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice