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General NPI Number Information
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NPI Number | 1780241760
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Entity Type | Individual
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Provider Name | HUSSAIN HUSSAIN DPM
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Gender | Male
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Dates
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Enumeration Date | 05/24/2019
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Last Update Date | 08/12/2022
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Provider Practice Location Address
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Address Line | 450 W MEDICAL CENTER BLVD STE 400
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City | WEBSTER
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State | TX
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Zip | 77598-4233
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Country | US
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Telephone | 281-760-3843
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Fax | 281-316-6379
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Provider Business Mailing Address
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Address Line | 680 W SAM HOUSTON PKWY S APT 2238
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City | HOUSTON
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State | TX
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Zip | 77042-1570
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Country | US
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Telephone | 646-339-1252
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | T20-2019
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License Number State | TX
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