MEDICARE: ABDULLA HUSSEIN ABDULLA 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	207Q00000X	Family Medicine Physician	125061947	IL
2	208M00000X	Hospitalist Physician	T3230	TX
3	207Q00000X	Family Medicine Physician	T3230	TX

General Provider Information

NPI Number	:	1891059507
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ABDULLA HUSSEIN ABDULLA MD

Provider Business Mailing Address
First Line	:	24200 VIA MAZZINI WAY
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77406-3439
Country	:	US
Telephone Number	:	346-546-8028
Fax Number	:	866-531-8156

Provider Business Practice Location Address
First Line	:	24200 VIA MAZZINI WAY STE 270
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77406-3439
Country	:	US
Telephone Number	:	346-546-8028
Fax Number	:	866-531-8156

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

Provider Enumeration Date	:	06/27/2012
Last Update Date	:	12/04/2025

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