Individual
HAITHAM AL-WAHAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6431 FANNIN ST, HOUSTON, TX 77030-1501
(713) 500-6016
Mailing address
6431 FANNIN ST, SUITE MSB 3.228, HOUSTON, TX 77030-1501
(713) 500-5650
(713) 500-0588
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
R9264
TX
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
R9462
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
395130303
—
TX
Enumeration date
03/27/2013
Last updated
11/24/2020
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