Individual
DR. ESSAM M IMSEIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6410 FANNIN ST STE 500, HOUSTON, TX 77030-3005
(832) 325-6516
Mailing address
PO BOX 201088, HOUSTON, TX 77216-1088
(713) 500-5663
(713) 500-5750
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
N2124
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1571512
—
LA
05
—
198299301
—
TX
01
—
198299302
CSHCN
—
01
—
8X7059
BCBSTX
TX
01
—
FTL42516 208000000X
TX LICENSE AND PRIMARY TAXONOMY
TX
01
—
FTL42516 208000000X
TEXAS LICENSE AND PRIMARY TAXONOMY
TX
Enumeration date
05/06/2006
Last updated
12/02/2020
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