Alsmadi, Tariq
Alsmadi, Tariq is an sole proprietor health care provider with primary practice located at 1107 W Randol Mill Rd , Arlington TX 76012-2515. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Alsmadi, Tariq can be contacted via phone (817) 277-6601.Contact Information
Primary practice address
1107 W Randol Mill Rd
Arlington TX 76012-2515
Phone: (817) 277-6601
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Endodontics | 1223E0200X | 21294 | Texas |
Profile Details
| NPI number | 1225141310 |
|---|---|
| LBN Legal business name | Alsmadi, Tariq |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 16th, 2006 |
| Last updated | Apr 22nd, 2022 - about 2 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 | 1225141310 | NPPES |
| Texas | MEDICAID | 161869601 | |
| Texas | Other | G60212-01 | |
| Texas | Other | 010389 | |
| Texas | Other | 88D371 | |
| Texas | Other | 1565571 |
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