Healthcare Provider Details

I. General information

NPI: 1447047584
Provider Name (Legal Business Name): TAHER DAOUD MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/22/2025
Last Update Date: 04/22/2025
Certification Date: 04/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 UNIVERSITY BLVD
GALVESTON TX
77555-5302
US

IV. Provider business mailing address

3838 N BRAESWOOD BLVD APT 301
HOUSTON TX
77025-3024
US

V. Phone/Fax

Practice location:
  • Phone: 409-772-1011
  • Fax:
Mailing address:
  • Phone: 832-219-4216
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberBP10091407
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: