Healthcare Provider Details
I. General information
NPI: 1003006974
Provider Name (Legal Business Name): HASSAN CHAHADEH MDPA
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/27/2007
Last Update Date: 09/02/2025
Certification Date: 08/29/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5225 KATY FWY STE 150
HOUSTON TX
77007-2265
US
IV. Provider business mailing address
5225 KATY FWY STE 150
HOUSTON TX
77007-2265
US
V. Phone/Fax
- Phone: 832-582-7269
- Fax: 844-756-0668
- Phone: 832-582-7269
- Fax: 844-756-0668
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208VP0014X |
| Taxonomy | Interventional Pain Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
HASSAN
CHAHADEH
Title or Position: AUTHORIZED OFFICIAL
Credential:
Phone: 832-582-7269