Provider Demographics
NPI:1215105903
Name:AHMAD, HELA HUSAIN (DDS)
Entity type:Individual
Prefix:DR
First Name:HELA
Middle Name:HUSAIN
Last Name:AHMAD
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5302 SUNBRIGHT CT
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77041-6577
Mailing Address - Country:US
Mailing Address - Phone:281-300-2222
Mailing Address - Fax:
Practice Address - Street 1:5302 SUNBRIGHT CT
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77041-6577
Practice Address - Country:US
Practice Address - Phone:281-300-2222
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-14
Last Update Date:2015-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX21022122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1546525-01Medicaid