Healthcare Provider Details

I. General information

NPI: 1285162339
Provider Name (Legal Business Name): KHALED MAGDY ATTIA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/01/2017
Last Update Date: 11/17/2025
Certification Date: 11/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9645 BARKER CYPRESS RD STE 100
CYPRESS TX
77433-5292
US

IV. Provider business mailing address

PO BOX 57845
WEBSTER TX
77598-7845
US

V. Phone/Fax

Practice location:
  • Phone: 346-250-6010
  • Fax: 346-200-3572
Mailing address:
  • Phone: 281-724-1862
  • Fax: 281-724-1859

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberR8696
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: