Individual
DR. HUSSAMADDIN AL KHADOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
616 CYPRESS CREEK PKWY STE 300, HOUSTON, TX 77090-3025
(281) 364-8787
(713) 636-9088
Mailing address
616 CYPRESS CREEK PKWY STE 300, HOUSTON, TX 77090-3025
(281) 364-8787
(713) 636-9088
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
L1257
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080648103
EPSDT
TX
05
—
157218201
—
TX
01
—
8J3438
BCBS OF TX
TX
Enumeration date
09/16/2005
Last updated
09/05/2024
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