Mohemd, Eaz Aldean

Mohemd, Eaz Aldean is an individual health care provider with primary practice located at 4117 N Story Rd , Irving TX 75038-5904. He recently has only one registered license in Other Service Providers / Contractor, which is considered as his primary health care specialty. Mohemd, Eaz Aldean can be contacted via phone (469) 544-7173.

Contact Information

Primary practice address
4117 N Story Rd Irving TX 75038-5904
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X

Profile Details

NPI number 1013398338
LBN Legal business name Mohemd, Eaz Aldean
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2015
Last updated Jun 11th, 2015 - about 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013398338 NPPES
Texas MEDICAID 343800000X

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