MEDICARE: NISAR HUSSAIN M.D.

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	207R00000X	Internal Medicine Physician	L6071	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1851377089
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NISAR HUSSAIN M.D.

Provider Business Mailing Address
First Line	:	191 E. PRICE ROAD
Second Line	:
City	:	BROWNSVILLE
State	:	TX
Zip	:	78521-2908
Country	:	US
Telephone Number	:	956-621-3593
Fax Number	:	956-621-3689

Provider Business Practice Location Address
First Line	:	191 EAST PRICE RD
Second Line	:
City	:	BROWNSVILLE
State	:	TX
Zip	:	78521-2908
Country	:	US
Telephone Number	:	956-621-3593
Fax Number	:	956-621-3689

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

Provider Enumeration Date	:	12/20/2005
Last Update Date	:	04/26/2021

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Directions to “ NISAR HUSSAIN M.D.” Practice Location

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