Provider Demographics
NPI:1962778357
Name:ABID, HENIA AZHAR (DO)
Entity type:Individual
Prefix:DR
First Name:HENIA
Middle Name:AZHAR
Last Name:ABID
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:5310 GALAXIE RD
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75044-4502
Mailing Address - Country:US
Mailing Address - Phone:972-849-8012
Mailing Address - Fax:972-495-8163
Practice Address - Street 1:8200 WALNUT HILL LN
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-4426
Practice Address - Country:US
Practice Address - Phone:214-345-7924
Practice Address - Fax:214-345-8784
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-29
Last Update Date:2022-03-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX566157207R00000X
TXP9495207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXP9495OtherMEDICAL LICENSE