MEDICARE: DR. FIRAS M ABDELRAHMAN D.D.S,M.S

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	1223P0300X	Periodontics	24337	TX

General Provider Information

NPI Number	:	1174761209
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FIRAS M ABDELRAHMAN D.D.S,M.S

Provider Business Mailing Address
First Line	:	5901 WESTHEIMER RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77057-7634
Country	:	US
Telephone Number	:	713-228-3384
Fax Number	:

Provider Business Practice Location Address
First Line	:	2600 GESSNER RD STE 226
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77080-3843
Country	:	US
Telephone Number	:	713-690-3368
Fax Number	:	713-690-1215

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/28/2009
Last Update Date	:	04/13/2021

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