NPI 1013398338
Eaz Aldean Mohemd
Practice location
- Address
- 4117 N Story Rd, Irving, TX 75038-5904
- Phone
- (469) 544-7173
- Mailing address
- 2625 Castle St, Irving, TX 75038-5807
Registered specialties
Contractor
Primary
Registry record
- NPI
- 1013398338
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 11 Jun 2015
- Record last updated
- 11 Jun 2015
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.