Provider Demographics
NPI:1871037382
Name:ABBASHAR, AMIN
Entity Type:Individual
Prefix:
First Name:AMIN
Middle Name:
Last Name:ABBASHAR
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 1:101 BRANCHWOOD TRL
Mailing Address - Street 2:
Mailing Address - City:COPPELL
Mailing Address - State:TX
Mailing Address - Zip Code:75019-2485
Mailing Address - Country:US
Mailing Address - Phone:817-323-9353
Mailing Address - Fax:
Practice Address - Street 1:101 BRANCHWOOD TRL
Practice Address - Street 2:
Practice Address - City:COPPELL
Practice Address - State:TX
Practice Address - Zip Code:75019-2485
Practice Address - Country:US
Practice Address - Phone:817-323-9353
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-19
Last Update Date:2022-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)