Provider Demographics
NPI:1013320050
Name:ALJARWI, MOHAMMED HUSSEIN NASSER (MD)
Entity type:Individual
Prefix:
First Name:MOHAMMED
Middle Name:HUSSEIN NASSER
Last Name:ALJARWI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4214 ANDREWS HWY STE 102
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79703-4815
Mailing Address - Country:US
Mailing Address - Phone:432-256-4390
Mailing Address - Fax:432-256-4391
Practice Address - Street 1:4214 ANDREWS HWY STE 102
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:TX
Practice Address - Zip Code:79703-4815
Practice Address - Country:US
Practice Address - Phone:432-256-4390
Practice Address - Fax:432-256-4391
Is Sole Proprietor?:No
Enumeration Date:2014-06-07
Last Update Date:2025-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ9276208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXQ9276OtherTEXAS MEDICAL BOARD LICENSE NUMBER