Provider Demographics
NPI:1679724595
Name:ALIASGAR Y MOGRI DDS PA
Entity type:Organization
Organization Name:ALIASGAR Y MOGRI DDS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALIASGAR
Authorized Official - Middle Name:YUSUF
Authorized Official - Last Name:MOGRI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:281-256-3222
Mailing Address - Street 1:17330 SPRING CYPRESS RD STE 115
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-4294
Mailing Address - Country:US
Mailing Address - Phone:281-256-3222
Mailing Address - Fax:281-256-0629
Practice Address - Street 1:17330 SPRING CYPRESS RD STE 115
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-4294
Practice Address - Country:US
Practice Address - Phone:281-256-3222
Practice Address - Fax:281-256-0629
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-09
Last Update Date:2008-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX210081223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1642217-11Medicaid