NPI 1356864870 · live from the CMS NPI Registry
Emad Abdallah
Dentist in San Antonio, TX. National Provider Identifier 1356864870, active.
NPI record
| NPI | 1356864870 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist 122300000X |
| Practice location | 2311 Harry Wurzbach Rd, San Antonio, TX 78209 |
| Practice phone | 210-824-3531 |
| Mailing address | 1347 Burning Arrow, San Antonio, TX 78258 |
| Enumerated | July 18, 2017 |
| Last updated | July 30, 2023 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | 2901022392 (MI) |
| Dentist primary | 122300000X | 38276 (TX) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.