MEDICARE: ADEL NASSER PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	PATEMP	TX
2	363A00000X	Physician Assistant	PA11670	TX

General Provider Information

NPI Number	:	1134631716
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADEL NASSER PA

Provider Business Mailing Address
First Line	:	1130 N LOOP 340
Second Line	:
City	:	LACY LAKEVIEW
State	:	TX
Zip	:	76705-2400
Country	:	US
Telephone Number	:	254-870-6500
Fax Number	:

Provider Business Practice Location Address
First Line	:	2240 GULF FWY S STE 2.100
Second Line	:
City	:	LEAGUE CITY
State	:	TX
Zip	:	77573-5143
Country	:	US
Telephone Number	:	832-505-1600
Fax Number	:	281-309-0147

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/03/2017
Last Update Date	:	03/20/2026

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Directions to “ ADEL NASSER PA” Practice Location

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