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Physician Compare National (NPI:1245207372)

HEALTHCARE PROVIDER: HOUMAM AL-HAKEEM MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1245207372
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 1355368689
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20051028001005
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name AL HAKEEM
Individual professional last name
Provider First Name HOUMAM
Individual professional first name
Provider Gender M
The provider's gender if the provider is a person.
Provider Credential Text MD
The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information

Medical School Name OTHER
Individual professional's medical school
Graduation Year 1995
Individual professional's medical school graduation year
Primary Specialty OBSTETRICS/GYNECOLOGY
Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1 FAMILY MEDICINE
First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties FAMILY MEDICINE
All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information

Line 1 Street Address 11212 HWY 151 MEDICAL PLAZA 2
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 120
Group Practice or individual's line 2 address
City SAN ANTONIO
Group Practice or individual's city
State TX
Group Practice or individual's state
Zip Code 782514498
Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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