Healthcare Provider Details

I. General information

NPI: 1487231965
Provider Name (Legal Business Name): JOSEPH NASSIF
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/29/2021
Last Update Date: 03/29/2021
Certification Date: 03/29/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 BAYLOR PLZ
HOUSTON TX
77030-3498
US

IV. Provider business mailing address

5118 LARKIN ST
HOUSTON TX
77007-1940
US

V. Phone/Fax

Practice location:
  • Phone: 832-826-7464
  • Fax:
Mailing address:
  • Phone: 832-540-5535
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207VF0040X
TaxonomyUrogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
License Number47244
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code207VX0000X
TaxonomyObstetrics Physician
License Number47244
License Number StateTX
# 3
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number47244
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: