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General NPI Number Information
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NPI Number | 1629737770
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Entity Type | Individual
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Provider Name | WALEED AZMY ABDULKADER ABDELLATIF MBBCH, MSC, MSHPE
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Gender | Male
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Dates
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Enumeration Date | 12/15/2021
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Last Update Date | 02/11/2025
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Provider Practice Location Address
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Address Line | 1504 TAUB LOOP
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City | HOUSTON
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State | TX
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Zip | 77030-1608
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Country | US
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Telephone | 713-873-8890
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Fax |
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Provider Business Mailing Address
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Address Line | 5323 HARRY HINES BLVD
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City | DALLAS
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State | TX
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Zip | 75390-7201
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Country | US
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Telephone | 214-633-4423
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 47488
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | U5901
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License Number State | TX
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