Provider Demographics
NPI:1649961962
Name:AHMED, NABIHA
Entity type:Individual
Prefix:
First Name:NABIHA
Middle Name:
Last Name:AHMED
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:195 S FM 548
Mailing Address - Street 2:STE 140
Mailing Address - City:FORNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75126
Mailing Address - Country:US
Mailing Address - Phone:469-970-5551
Mailing Address - Fax:469-970-5552
Practice Address - Street 1:195 S FM 548
Practice Address - Street 2:STE 140
Practice Address - City:FORNEY
Practice Address - State:TX
Practice Address - Zip Code:75126
Practice Address - Country:US
Practice Address - Phone:469-970-5551
Practice Address - Fax:469-970-5552
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-17
Last Update Date:2025-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA390200000X
TX39994122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program