# PROSPERITY IPA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588374318
- **Authorized official:** MOHAMMAD HUSSAIN (DIRECTOR)
- **Authorized official phone:** (716) 909-6965

## Contact information

- **Practice address:** 21301 KUYKENDAHL RD STE J, SPRING, TX 77379-2614
- **Practice address phone:** (716) 909-6965
- **Mailing address:** 2626 COUCH ST, HOUSTON, TX 77008-1636

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/02/2022
- **Last updated:** 12/09/2022