| Habiba Medical Services Professional Corporation | |
|
10039 Bissonnet St Ste 105 Houston TX 77036-7838 | |
| (713) 771-5571 | |
| (713) 771-5514 |
| Full Name | Habiba Medical Services Professional Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 10039 Bissonnet St Ste 105, Houston, Texas |
| Authorized Official Name and Position | Abdul Alhassan (OWNER) |
| Authorized Official Contact | 7137715572 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Habiba Medical Services Professional Corporation Po Box 420961 Houston TX 77242-0961 Ph: (713) 771-5572 | Habiba Medical Services Professional Corporation 10039 Bissonnet St Ste 105 Houston TX 77036-7838 Ph: (713) 771-5571 |
| NPI Number | 1043499916 |
|---|---|
| Provider Enumeration Date | 10/29/2007 |
| Last Update Date | 05/20/2008 |
| Medicare PECOS PAC ID | 3375435688 |
|---|---|
| Medicare Enrollment ID | O20040329001762 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043499916 | NPI | - | NPPES |
| 146365501 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | K6794 (Texas) | Primary |
| Provider Name | Abdul Aziz Alhassan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982646675 PECOS PAC ID: 7810889136 Enrollment ID: I20040420000098 |
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