Individual provider · NPI-1

Dr. Myra Ahmed

Family Medicine · Grand Prairie, TX

NPI number1770071417
StatusActive
Last updated in NPPESSep 27, 2023

Details

NPI
1770071417
Entity type
Individual (NPI-1)
Name
Dr. Myra Ahmed
Sex
Female
Sole proprietor
No
Enumeration date
Apr 27, 2018
Certification date
Sep 27, 2023
Last updated
Sep 27, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineS8413TXYes
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

2740 N State Highway 360 Ste 100
Grand Prairie, TX 75050-6402

Phone 972-606-8300 · Fax 972-606-4940

Mailing address

2740 N State Highway 360 Ste 100
Grand Prairie, TX 75050-6402

Phone 972-606-8300 · Fax 972-606-4940

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