Provider Demographics
NPI:1881049880
Name:MA MEDICAL CARE PLLC
Entity type:Organization
Organization Name:MA MEDICAL CARE PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:MOIZ
Authorized Official - Middle Name:
Authorized Official - Last Name:AHMED
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-691-5717
Mailing Address - Street 1:7510 LAVAERTON WOOD LN
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-3186
Mailing Address - Country:US
Mailing Address - Phone:281-691-5717
Mailing Address - Fax:866-717-6261
Practice Address - Street 1:7510 LAVAERTON WOOD LN
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77407-3186
Practice Address - Country:US
Practice Address - Phone:281-691-5717
Practice Address - Fax:866-717-6261
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-27
Last Update Date:2016-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty