Provider Demographics
NPI:1053089672
Name:ABDO, REEM WAGIH
Entity Type:Individual
Prefix:
First Name:REEM
Middle Name:WAGIH
Last Name:ABDO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24539 JENNS CREEK CT
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77389-1704
Mailing Address - Country:US
Mailing Address - Phone:424-465-4025
Mailing Address - Fax:
Practice Address - Street 1:141 INTERSTATE 45 S
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:TX
Practice Address - Zip Code:77340-4243
Practice Address - Country:US
Practice Address - Phone:936-295-3041
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-30
Last Update Date:2023-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX68411183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist