Individual
WAEL ASI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1111 MEDICAL PLAZA DR, SUITE 250, THE WOODLANDS, TX 77380-3240
(281) 296-8788
(281) 719-5938
Mailing address
22710 PROFESSIONAL DR, SUITE 102, KINGWOOD, TX 77339-6008
(281) 296-8788
(281) 719-5938
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
J5251
TX
207RP1001X
Pulmonary Disease Physician
Primary
J5251
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0019BY
GROUP MEDICARE
TX
05
—
139888522
—
TX
05
—
139888523
—
TX
Enumeration date
10/12/2005
Last updated
05/12/2017
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