MEDICARE: DR. ABIR HUSSAMY DMD

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	1223G0001X	General Practice Dentistry	23107	TX

General Provider Information

NPI Number	:	1891834339
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ABIR HUSSAMY DMD

Provider Business Mailing Address
First Line	:	18700 W LAKE HOUSTON PKWY STE A107
Second Line	:
City	:	HUMBLE
State	:	TX
Zip	:	77346-3350
Country	:	US
Telephone Number	:	281-964-1001
Fax Number	:	281-852-6770

Provider Business Practice Location Address
First Line	:	18700 W LAKE HOUSTON PKWY STE A107
Second Line	:
City	:	HUMBLE
State	:	TX
Zip	:	77346-3350
Country	:	US
Telephone Number	:	281-964-1001
Fax Number	:	281-852-6770

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

Provider Enumeration Date	:	02/05/2007
Last Update Date	:	05/19/2008

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