Provider Demographics
NPI:1164865762
Name:AGHA, YASMEEN TAHIRA (MD)
Entity type:Individual
Prefix:DR
First Name:YASMEEN
Middle Name:TAHIRA
Last Name:AGHA
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:7579 N LOOP 1604 W
Mailing Address - Street 2:STE 100
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78249-2782
Mailing Address - Country:US
Mailing Address - Phone:210-695-1900
Mailing Address - Fax:210-695-1901
Practice Address - Street 1:7579 N LOOP 1604 W
Practice Address - Street 2:STE 100
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78249-2782
Practice Address - Country:US
Practice Address - Phone:210-695-1900
Practice Address - Fax:210-695-1901
Is Sole Proprietor?:No
Enumeration Date:2013-04-12
Last Update Date:2017-01-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXR0985207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXR0985OtherTEXAS LICENSE