Individual
MIR TAJAMMUL HUSSAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6720 BERTNER AVE, HOUSTON, TX 77030-2604
(832) 355-2666
Mailing address
6720 BERTNER AVE, HOUSTON, TX 77030-2604
(832) 355-2666
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
L0284
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050075369
RAILROAD
TX
05
—
118185101
—
TX
05
—
118185105
—
TX
05
—
118185106
—
TX
05
—
118185107
—
TX
05
—
118185108
—
TX
05
—
118185109
—
TX
01
—
8A0490
BLUE CROSS BLUE SHILED
TX
01
—
8EH271
BCBS TX
TX
Enumeration date
12/28/2005
Last updated
01/23/2024
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