Healthcare Provider Details

I. General information

NPI: 1801152863
Provider Name (Legal Business Name): NADER ELDRIS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/04/2012
Last Update Date: 09/04/2025
Certification Date: 09/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9250 PINECROFT DR # N2101
SHENANDOAH TX
77380-3218
US

IV. Provider business mailing address

9250 PINECROFT DR # N2101
SHENANDOAH TX
77380-3218
US

V. Phone/Fax

Practice location:
  • Phone: 713-897-2307
  • Fax: 713-897-2275
Mailing address:
  • Phone: 713-897-2307
  • Fax: 713-897-2275

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number036137670
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberT5734
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberT5734
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: