Healthcare Provider Details

I. General information

NPI: 1952763468
Provider Name (Legal Business Name): RIMA GHASSAN DABABNEH M.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2016
Last Update Date: 01/18/2024
Certification Date: 01/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6410 FANNIN ST STE 370
HOUSTON TX
77030-3004
US

IV. Provider business mailing address

841 PRUDENTIAL DR STE 1130
JACKSONVILLE FL
32207-8331
US

V. Phone/Fax

Practice location:
  • Phone: 713-486-6755
  • Fax: 713-383-1478
Mailing address:
  • Phone: 904-633-4199
  • Fax: 904-633-4188

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberME140020
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code2080P0202X
TaxonomyPediatric Cardiology Physician
License NumberU5674
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: