Individual
IBTAHAJ HUSSAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
301 UNIVERSITY BLVD, GALVESTON, TX 77555
(409) 747-0534
Mailing address
301 UNIVERSITY BLVD, GALVESTON, TX 77555-0354
(409) 747-0534
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
BP10089978
TX
Other
Enumeration date
05/13/2024
Last updated
09/01/2024
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