| Durham Medical Center | |
|
427 W. 20th Street #705 Houston TX 77008-2433 | |
| (713) 861-4090 | |
| (713) 861-3434 |
| Full Name | Durham Medical Center |
|---|---|
| Speciality | Family Medicine |
| Location | 427 W. 20th Street, Houston, Texas |
| Authorized Official Name and Position | Adnan Jawhar Hussein (PRESIDENT) |
| Authorized Official Contact | 7138614090 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Durham Medical Center Po Box 426 Fresno TX 77545-0426 Ph: (713) 861-4090 | Durham Medical Center 427 W. 20th Street #705 Houston TX 77008-2433 Ph: (713) 861-4090 |
| NPI Number | 1912210600 |
|---|---|
| Provider Enumeration Date | 07/22/2010 |
| Last Update Date | 06/13/2011 |
| Medicare PECOS PAC ID | 8224215462 |
|---|---|
| Medicare Enrollment ID | O20110615000629 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912210600 | NPI | - | NPPES |
| 031089801 | Medicaid | TX | |
| 1730299124 | Other | TX | FIRST NPI NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | K3756 (Texas) | Primary |
| Provider Name | Adnan J Hussein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730299124 PECOS PAC ID: 5496932634 Enrollment ID: I20110615000643 |
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