Individual
WASAE SEYED TABIBI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6560 FANNIN ST STE 1730, HOUSTON, TX 77030-2735
(713) 795-5511
(713) 795-4627
Mailing address
6560 FANNIN ST STE 1730, HOUSTON, TX 77030-2735
(713) 795-5511
(713) 795-4627
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
J1576
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134403803
—
TX
01
—
49384
AMERIGROUP
—
01
—
81093X
BCBS
—
Enumeration date
06/17/2005
Last updated
07/21/2022
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