Provider Demographics
NPI:1730638586
Name:ALMADAN, MOHAMMAD
Entity type:Individual
Prefix:
First Name:MOHAMMAD
Middle Name:
Last Name:ALMADAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2001 N MACARTHUR BLVD
Mailing Address - Street 2:SUITE 550
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75061-2256
Mailing Address - Country:US
Mailing Address - Phone:972-579-8155
Mailing Address - Fax:972-570-4398
Practice Address - Street 1:2001 N MACARTHUR BLVD
Practice Address - Street 2:SUITE 550
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75061-2256
Practice Address - Country:US
Practice Address - Phone:972-579-8155
Practice Address - Fax:972-570-4398
Is Sole Proprietor?:No
Enumeration Date:2016-09-21
Last Update Date:2019-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1267100225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist