Individual
FAISAL GHAZI BAKAEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2002 HOLCOMBE BLVD, MICHAEL E. DEBAKEY VA MEDICAL CENTER OCL 112, HOUSTON, TX 77030-4211
(713) 794-7892
Mailing address
2403 N MYSTIC MDW, HOUSTON, TX 77021-2256
(832) 489-3202
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
M0008
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
187241801
—
TX
Enumeration date
08/10/2006
Last updated
08/31/2010
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