Provider Demographics
NPI:1750825527
Name:AHMAD AKRAM DMD PLLC
Entity Type:Organization
Organization Name:AHMAD AKRAM DMD PLLC
Other - Org Name:LONE STAR DENTAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:AHMAD
Authorized Official - Middle Name:JUNAID
Authorized Official - Last Name:AKRAM
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:617-331-6477
Mailing Address - Street 1:751 STRATUS PATH
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78130-4169
Mailing Address - Country:US
Mailing Address - Phone:617-331-6477
Mailing Address - Fax:
Practice Address - Street 1:3103 FM 1960 EAST
Practice Address - Street 2:SUITE F
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77338
Practice Address - Country:US
Practice Address - Phone:617-331-6477
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-13
Last Update Date:2016-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX26317261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental