Organization · NPI-2

Amana Health LLC

Nurse Practitioner, Family · Richardson, TX

NPI number1720335276
StatusActive
Last updated in NPPESAug 14, 2012

Details

NPI
1720335276
Entity type
Organization (NPI-2)
Legal business name
Amana Health LLC
Organization subpart
No
Enumeration date
Aug 14, 2012
Last updated
Aug 14, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family738155TXYes

Practice location

1350 E Lookout Dr
Richardson, TX 75082-4106

Phone 972-742-6467

Mailing address

5301 Galaxie Rd
Garland, TX 75044-4503

Phone 972-742-6467

Authorized official

Huda Abdulhamid Gadid
Sole Member
9727426467

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Nurse Practitioner, Family providers in Richardson, TX