Ali, Mayada
Ali, Mayada is an sole proprietor health care provider with primary practice located at 1000 Gattis School Rd Ste 130 , Round Rock TX 78664-2562. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Ali, Mayada can be contacted via phone (512) 649-0996.Contact Information
Primary practice address
1000 Gattis School Rd Ste 130
Round Rock TX 78664-2562
Phone: (512) 649-0996
Fax: (512) 387-3555
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | R1490 | Texas |
Profile Details
| NPI number | 1184039489 |
|---|---|
| LBN Legal business name | Ali, Mayada |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 25th, 2014 |
| Last updated | Nov 17th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184039489 | NPPES |
| Texas | MEDICAID | 374307208 |
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