MEDICARE: HIGHLANDS MEDICAL ASSOCIATES, P.A.

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
1	207Q00000X	Family Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	4388704	OTHER		AETNA PROVIDER NUMBER

General Provider Information

NPI Number	:	1114221090
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HIGHLANDS MEDICAL ASSOCIATES, P.A.

Provider Business Mailing Address
First Line	:	607 E WALLISVILLE RD
Second Line	:
City	:	HIGHLANDS
State	:	TX
Zip	:	77562-3831
Country	:	US
Telephone Number	:	281-426-8586
Fax Number	:	281-426-7983

Provider Business Practice Location Address
First Line	:	607 E WALLISVILLE RD
Second Line	:
City	:	HIGHLANDS
State	:	TX
Zip	:	77562-3831
Country	:	US
Telephone Number	:	281-426-8586
Fax Number	:	281-426-7983

Authorized Official
Title or Position	:	PHYSICIAN/DIRECTOR
Name	:	DR. DALLAL ABDELSAYED
Credential	:	M.D.
Telephone Number	:	281-426-8586

Provider Enumeration Date	:	01/06/2011
Last Update Date	:	03/01/2022

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