Basic Information
| Provider Information | |||||||||
| NPI: | 1275055915 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | EL NAWAA | ||||||||
| FirstName: | SAIF EL NASER | ||||||||
| MiddleName: | H MAHMOUD | ||||||||
| NamePrefix: | |||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3601 4TH ST # MS 9410 | ||||||||
| Address2: | |||||||||
| City: | LUBBOCK | ||||||||
| State: | TX | ||||||||
| PostalCode: | 794300002 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8037433155 | ||||||||
| FaxNumber: | 8067433148 | ||||||||
| Practice Location | |||||||||
| Address1: | 3601 4TH ST # MS 9410 | ||||||||
| Address2: | |||||||||
| City: | LUBBOCK | ||||||||
| State: | TX | ||||||||
| PostalCode: | 794300002 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8037433155 | ||||||||
| FaxNumber: | 8067433148 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/14/2017 | ||||||||
| LastUpdateDate: | 07/21/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 390200000X | RS2018-0729 | NM | N | Student, Health Care | Student in an Organized Health Care Education/Training Program | 390200000X | BP10059583 | TX | Y | Student, Health Care | Student in an Organized Health Care Education/Training Program |
No ID Information.