Healthcare Provider Details
I. General information
NPI: 1548391485
Provider Name (Legal Business Name): GHADA A SAQER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 03/09/2007
Last Update Date: 06/15/2024
Certification Date: 06/15/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9915 BARKER CYPRESS RD STE 200
CYPRESS TX
77433-1203
US
IV. Provider business mailing address
11037 FM 1960 RD W #B2A
HOUSTON TX
77065
US
V. Phone/Fax
- Phone: 281-737-1555
- Fax: 281-737-1556
- Phone: 281-208-7414
- Fax: 832-688-8075
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | N4723 |
| License Number State | TX |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: