Healthcare Provider Details

I. General information

NPI: 1871097345
Provider Name (Legal Business Name): ELIAS KASSIR MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/20/2018
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1411 ATLANTIS DR STE A
WEBSTER TX
77598-1637
US

IV. Provider business mailing address

1411 ATLANTIS DR STE A
WEBSTER TX
77598-1637
US

V. Phone/Fax

Practice location:
  • Phone: 281-707-0939
  • Fax: 281-605-6800
Mailing address:
  • Phone: 281-707-0939
  • Fax: 281-605-6800

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License NumberU1309
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberU1309
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: