Healthcare Provider Details

I. General information

NPI: 1427934850
Provider Name (Legal Business Name): DUHA ABOU KHADIJA DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/12/2025
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16000 STUEBNER AIRLINE RD STE 230
SPRING TX
77379-7303
US

IV. Provider business mailing address

16000 STUEBNER AIRLINE RD STE 230
SPRING TX
77379-7303
US

V. Phone/Fax

Practice location:
  • Phone: 333-333-3333
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number41691
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: