MEDICARE: DR. ABDIRAHMAN NUR DDS

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	2901020107	MI
2	1223G0001X	General Practice Dentistry	28649	TX

General Provider Information

NPI Number	:	1972838415
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ABDIRAHMAN NUR DDS

Provider Business Mailing Address
First Line	:	5505 W OREM DR STE 200
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77085-1277
Country	:	US
Telephone Number	:	713-723-9200
Fax Number	:

Provider Business Practice Location Address
First Line	:	5505 W OREM DR STE 200
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77085-1277
Country	:	US
Telephone Number	:	713-723-9200
Fax Number	:	713-723-9202

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

Provider Enumeration Date	:	10/15/2009
Last Update Date	:	02/20/2024

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Directions to “ DR. ABDIRAHMAN NUR DDS” Practice Location

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