Provider Demographics
NPI:1073683322
Name:EMAM, MAGDY A (LSA CSA LICENSED CER)
Entity Type:Individual
Prefix:MR
First Name:MAGDY
Middle Name:A
Last Name:EMAM
Suffix:
Gender:M
Credentials:LSA CSA LICENSED CER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18723 APPLETREE HILL LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77084-5544
Mailing Address - Country:US
Mailing Address - Phone:281-948-1223
Mailing Address - Fax:281-646-8711
Practice Address - Street 1:4200 TALL OAKS DRIVE
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77084-5544
Practice Address - Country:US
Practice Address - Phone:281-948-1223
Practice Address - Fax:281-646-8711
Is Sole Proprietor?:No
Enumeration Date:2006-11-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXSA00119208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery