Individual
DR. BASHIR FARIS AL KADDOUMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.B, B.S, M.D.
Contact information
Practice address
18220 STATE HIGHWAY 249, SUITE 205, HOUSTON, TX 77070-4347
(832) 241-2001
(281) 547-7464
Mailing address
18220 STATE HIGHWAY 249 STE 205, HOUSTON, TX 77070-4347
(832) 241-2001
(281) 547-7464
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
4301099922
MI
207RC0000X
Cardiovascular Disease Physician
P1959
TX
207RI0011X
Interventional Cardiology Physician
Primary
P1959
TX
207UN0901X
Nuclear Cardiology Physician
P1959
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P1959
TEXAS PHYSICIAN PERMIT
TX
Enumeration date
03/23/2008
Last updated
01/20/2026
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