MEDICARE: NADIM SAMI NASSIF 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
1	207W00000X	Ophthalmology Physician	K8373	TX

General Provider Information

NPI Number	:	1376000737
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NADIM SAMI NASSIF MD

Provider Business Mailing Address
First Line	:	5150 HIDALGO ST UNIT 403
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77056-6409
Country	:	US
Telephone Number	:	713-621-9949
Fax Number	:

Provider Business Practice Location Address
First Line	:	5150 HIDALGO ST UNIT 403
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77056-6409
Country	:	US
Telephone Number	:	832-628-8600
Fax Number	:

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

Provider Enumeration Date	:	02/21/2019
Last Update Date	:	02/21/2019

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