Provider Demographics
NPI:1699363960
Name:ELBESHIR, HAFIZ AWADELGEED (MA)
Entity Type:Individual
Prefix:
First Name:HAFIZ
Middle Name:AWADELGEED
Last Name:ELBESHIR
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8954 RUSHING RIVER DR
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76118-7729
Mailing Address - Country:US
Mailing Address - Phone:817-212-9093
Mailing Address - Fax:
Practice Address - Street 1:8954 RUSHING RIVER DR
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76118-7729
Practice Address - Country:US
Practice Address - Phone:817-212-9093
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-04
Last Update Date:2021-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)