Healthcare Provider Details

I. General information

NPI: 1225609993
Provider Name (Legal Business Name): MOHAMMAD EYAD ALBABA DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/05/2021
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 N KOBAYASHI STE 208
WEBSTER TX
77598-4841
US

IV. Provider business mailing address

PO BOX 57309
WEBSTER TX
77598-7309
US

V. Phone/Fax

Practice location:
  • Phone: 281-724-1860
  • Fax: 281-412-7914
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number37472
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number37472
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: