Provider Demographics
NPI:1093482838
Name:HUSSEIN, AMMAR ALI
Entity Type:Individual
Prefix:
First Name:AMMAR
Middle Name:ALI
Last Name:HUSSEIN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14222 KIMBERLEY LN APT 487
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77079-4812
Mailing Address - Country:US
Mailing Address - Phone:281-219-5335
Mailing Address - Fax:
Practice Address - Street 1:14222 KIMBERLEY LN APT 487
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77079-4812
Practice Address - Country:US
Practice Address - Phone:281-219-5335
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-28
Last Update Date:2021-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver