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NPI Code Detail

MEDICARE: NORTHSIDE GASTROENTEROLOGY ASSOCIATES PA

MEDICARE: NORTHSIDE GASTROENTEROLOGY ASSOCIATES PA
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
1174400000XSpecialistL2334TX

General Provider Information

NPI Number : 1033175872
Entity Type Code : Organization
Provider Name (Legal Business Name) : NORTHSIDE GASTROENTEROLOGY ASSOCIATES PA
Provider Business Mailing Address
First Line : 10425 HUFFMEISTER RD STE 310
Second Line :
City : HOUSTON
State : TX
Zip : 77065-3429
Country : US
Telephone Number : 281-477-9305
Fax Number : 281-477-9319
Provider Business Practice Location Address
First Line : 10425 HUFFMEISTER RD STE 310
Second Line :
City : HOUSTON
State : TX
Zip : 77065-3429
Country : US
Telephone Number : 281-477-9305
Fax Number : 281-477-9319
Authorized Official
Title or Position : PRESIDENT
Name : DR. AYUB HUSSAIN
Credential : MD
Telephone Number : 281-477-9305
Provider Enumeration Date : 04/21/2006
Last Update Date : 11/29/2022

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1538279468 — AYUB HUSSAIN M.D.
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Practice Fax:

Directions to “NORTHSIDE GASTROENTEROLOGY ASSOCIATES PA ” Practice Location

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