Provider Demographics
NPI:1922453315
Name:ALZHRANI, OMAR SAEED M
Entity Type:Individual
Prefix:
First Name:OMAR
Middle Name:SAEED M
Last Name:ALZHRANI
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 1:900 N RANDOLPH ST
Mailing Address - Street 2:APT 1415
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22203
Mailing Address - Country:US
Mailing Address - Phone:806-414-9559
Mailing Address - Fax:806-351-3765
Practice Address - Street 1:1400 S. COULTER - SUITE 5100
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79106
Practice Address - Country:US
Practice Address - Phone:806-414-9493
Practice Address - Fax:806-351-3765
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-04
Last Update Date:2016-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program