Healthcare Provider Details

I. General information

NPI: 1659062990
Provider Name (Legal Business Name): MUNA HASSAN ELKHIDIR OSMAN MD,MBBS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/17/2023
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6410 FANNIN ST STE 600
HOUSTON TX
77030-5206
US

IV. Provider business mailing address

25231 BENTLEY GLEN LN
KATY TX
77494-6453
US

V. Phone/Fax

Practice location:
  • Phone: 713-500-6767
  • Fax: 713-500-5495
Mailing address:
  • Phone: 682-252-8516
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License NumberW8403
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: