Basic Information
Provider Information
NPI: 1326356973
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ABID
FirstName: HUMAIRA
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 6431 FANNIN
Address2: JJL324
City: HOUSTON
State: TX
PostalCode: 77030
CountryCode: US
TelephoneNumber: 7135007600
FaxNumber:  
Practice Location
Address1: 1712 1ST ST E
Address2:  
City: HUMBLE
State: TX
PostalCode: 773385238
CountryCode: US
TelephoneNumber: 2814464139
FaxNumber: 2814464860
Other Information
ProviderEnumerationDate: 09/16/2010
LastUpdateDate: 02/01/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000XP6119TXY Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


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