Individual
GHAYAS C. ISSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030
(713) 792-6161
Mailing address
P O BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
R3686
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
387581701
—
TX
01
—
387581702
CSHCN
TX
01
—
8JT314
BCBS
TX
Enumeration date
04/18/2011
Last updated
02/28/2019
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