Provider Demographics
NPI:1851904148
Name:MAHMOOD, TASNEEM (DDS)
Entity Type:Individual
Prefix:DR
First Name:TASNEEM
Middle Name:
Last Name:MAHMOOD
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 1:3700 BUFFALO SPEEDWAY STE 310
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77098-3705
Mailing Address - Country:US
Mailing Address - Phone:713-850-9699
Mailing Address - Fax:
Practice Address - Street 1:3700 BUFFALO SPEEDWAY STE 310
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77098-3705
Practice Address - Country:US
Practice Address - Phone:713-850-9699
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-26
Last Update Date:2022-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX36596122300000X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist