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NPI Code Detail

MEDICARE: DR. ADNAN TRABULSI MD

MEDICARE: DR. ADNAN TRABULSI 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
1208000000XPediatrics PhysicianL2704TX

General Provider Information

NPI Number : 1457459513
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ADNAN TRABULSI MD
Provider Business Mailing Address
First Line : 5411 SUMMER OAK DR
Second Line :
City : PASADENA
State : TX
Zip : 77505-3026
Country : US
Telephone Number : 713-944-2324
Fax Number : 713-944-1539
Provider Business Practice Location Address
First Line : 11450 SPACE CENTER BLVD STE 100
Second Line :
City : HOUSTON
State : TX
Zip : 77059-3642
Country : US
Telephone Number : 281-991-7000
Fax Number : 281-991-7003
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2006
Last Update Date : 06/19/2012

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