Provider Demographics
NPI:1891903118
Name:AHLUWALIA, JASBIR S (MD)
Entity type:Individual
Prefix:DR
First Name:JASBIR
Middle Name:S
Last Name:AHLUWALIA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1297
Mailing Address - Street 2:
Mailing Address - City:STEPHENVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:76401-0012
Mailing Address - Country:US
Mailing Address - Phone:214-808-2007
Mailing Address - Fax:
Practice Address - Street 1:207 BROAD ST
Practice Address - Street 2:
Practice Address - City:WICHITA FALLS
Practice Address - State:TX
Practice Address - Zip Code:76301-2219
Practice Address - Country:US
Practice Address - Phone:940-500-4903
Practice Address - Fax:940-500-4906
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-18
Last Update Date:2025-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF3018207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology