Individual
GHASSAN A NOUREDDINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6550 FANNIN ST STE 2321, HOUSTON, TX 77030-2723
(713) 795-5155
(713) 795-5515
Mailing address
PO BOX 973722, DALLAS, TX 75397-3722
(713) 795-5155
(713) 795-5515
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
J9248
TX
207RP1001X
Pulmonary Disease Physician
J9248
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
131115107
—
TX
05
—
131115108
—
TX
01
—
1396723896
BLUE CROSS BLUE SHIELD
TX
01
—
J9248
LICENSE
TX
Enumeration date
08/14/2006
Last updated
10/31/2022
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