Provider Demographics
NPI:1033279807
Name:ABBASSI, OMID (MD-PHD)
Entity Type:Individual
Prefix:DR
First Name:OMID
Middle Name:
Last Name:ABBASSI
Suffix:
Gender:M
Credentials:MD-PHD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:7599 GARTH RD
Mailing Address - Street 2:STE 700
Mailing Address - City:BAYTOWN
Mailing Address - State:TX
Mailing Address - Zip Code:77521-7720
Mailing Address - Country:US
Mailing Address - Phone:281-412-6100
Mailing Address - Fax:281-412-2423
Practice Address - Street 1:2225 COUNTY ROAD 90
Practice Address - Street 2:SUITE 123
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-4890
Practice Address - Country:US
Practice Address - Phone:281-412-6100
Practice Address - Fax:281-412-2423
Is Sole Proprietor?:No
Enumeration Date:2006-12-11
Last Update Date:2023-03-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXJ6293207YP0228X, 207YX0007X, 207YX0602X, 207Y00000X, 207YX0901X, 207YX0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
No207YP0228XAllopathic & Osteopathic PhysiciansOtolaryngologyPediatric Otolaryngology
No207YX0007XAllopathic & Osteopathic PhysiciansOtolaryngologyPlastic Surgery within the Head & Neck
No207YX0602XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngic Allergy
No207YX0901XAllopathic & Osteopathic PhysiciansOtolaryngologyOtology & Neurotology
Provider Identifiers
StateIdentifier IDID TypeIssuer
BA6812641OtherDEA NUMBER
BA6812641OtherDEA NUMBER
TX8D7771Medicare PIN
TXH16629Medicare UPIN