Healthcare Provider Details

I. General information

NPI: 1861409278
Provider Name (Legal Business Name): NIDAL I BUHEIS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/01/2006
Last Update Date: 11/26/2025
Certification Date: 11/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20207 CHASEWOOD PARK DR ST 208
HOUSTON TX
77070-1441
US

IV. Provider business mailing address

2501 JIMMY JOHNSON BLVD SUITE 500
PORT ARTHUR TX
77640-2000
US

V. Phone/Fax

Practice location:
  • Phone: 713-986-5630
  • Fax:
Mailing address:
  • Phone: 409-723-6600
  • Fax: 409-723-6698

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberM2573
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License NumberM2573
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: