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NPI Code Detail

MEDICARE: MATTHEW AZIZ FAHEIM HANNA MD

MEDICARE: MATTHEW AZIZ FAHEIM HANNA MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianU6500TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1003427675
Entity Type Code : Individual
Provider Name (Legal Business Name) : MATTHEW AZIZ FAHEIM HANNA MD
Provider Business Mailing Address
First Line : 13930 BELLAIRE BLVD
Second Line :
City : HOUSTON
State : TX
Zip : 77083-1719
Country : US
Telephone Number : 713-773-0803
Fax Number : 713-271-5422
Provider Business Practice Location Address
First Line : 13930 BELLAIRE BLVD
Second Line :
City : HOUSTON
State : TX
Zip : 77083-1719
Country : US
Telephone Number : 713-773-0803
Fax Number : 713-271-5422
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/16/2020
Last Update Date : 07/11/2024

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