Individual provider · NPI-1

Sauda Alam

Nurse Practitioner, Family · Conroe, TX

NPI number1952931263
StatusActive
Last updated in NPPESOct 1, 2020

Details

NPI
1952931263
Entity type
Individual (NPI-1)
Name
Sauda Alam
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 26, 2020
Certification date
Oct 1, 2020
Last updated
Oct 1, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family1015629TXYes
163W00000X Registered Nurse872815TX

Practice location

100 Medical Center Blvd Ste 120
Conroe, TX 77304-2821

Phone 936-441-9944

Mailing address

100 Medical Center Blvd Ste 120
Conroe, TX 77304-2821

Phone 936-441-9944

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