Imtiaz Alam Md Pa

NPI 1144623489 - Pharmacy - 3336S0011X

NPI Details
NPI 1144623489
Enumeration Date 10/01/2014
Last Updated 04/23/2015
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name TAMMIE TAMMIE
Position MGR. LICENSING & THIRD PARTY
Phone (512) 381-1708
Fax (512) 490-6515
Practice Location
2200 PARK BEND DR BLDG 1
AUSTIN TX, 78758-5387, US
Phone (512) 381-1708
Fax (512) 490-6515
Business Location
5500 E LOOP 820 S
SUITE 102
FORT WORTH TX, 76119-6569, US
Phone (817) 572-0009
Fax (817) 720-1039
Toxanomy
Taxonomy Code 3336S0011X
License State
License Number
Remove 1144623489 NPI Number
 

According to our database, Imtiaz Alam Md Pa NPI is 1144623489, taxonomy code is 3336S0011X Imtiaz Alam Md Pa physically located at 2200 Park Bend Dr Bldg 1, Austin TX, 78758-5387. NPI Number 1033115704 has the healthcare provider type.

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1144623489 NPI number is provided on an as is basis without warranty of any kind. 1144623489 is maintained by the National Plan & Provider Enumeration System. The contents of Imtiaz Alam Md Pa are for informational purposes only.