Healthcare Provider Details

I. General information

NPI: 1417389206
Provider Name (Legal Business Name): MUHANED GA ALSAEDI M.D
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/02/2013
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5523 LOUETTA RD STE C
SPRING TX
77379-7880
US

IV. Provider business mailing address

12950 LAKE PARC BEND DR
CYPRESS TX
77429-6198
US

V. Phone/Fax

Practice location:
  • Phone: 832-982-4217
  • Fax: 832-442-6308
Mailing address:
  • Phone: 832-982-4217
  • Fax: 832-442-6308

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberQ2229
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberQ2229
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberBP10045202
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: