Individual
MR. IMTIHAN M JAWDAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8901 FM 1960 BYPASS RD W, STE. 304, HUMBLE, TX 77338-4018
(713) 759-9901
(281) 501-2927
Mailing address
2617 C W HOLCOMBE BLVD 322, HOUSTON, TX 77025-1601
(713) 759-9901
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
G9602
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
080242301
—
TX
01
—
30068526
DPS
TX
01
—
G9602
TEXAS STATE LICENSE
TX
Enumeration date
06/24/2006
Last updated
03/07/2023
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