Provider Demographics
NPI:1316812514
Name:ALASADI, HIBAH
Entity type:Individual
Prefix:
First Name:HIBAH
Middle Name:
Last Name:ALASADI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2025 AVONDOWN RD
Mailing Address - Street 2:
Mailing Address - City:FORNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75126-0927
Mailing Address - Country:US
Mailing Address - Phone:682-283-9805
Mailing Address - Fax:
Practice Address - Street 1:2025 AVONDOWN RD
Practice Address - Street 2:
Practice Address - City:FORNEY
Practice Address - State:TX
Practice Address - Zip Code:75126-0927
Practice Address - Country:US
Practice Address - Phone:682-283-9805
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-07
Last Update Date:2025-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX76429183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist