Provider Demographics
NPI:1114655891
Name:ABIDI, SAHER
Entity Type:Individual
Prefix:
First Name:SAHER
Middle Name:
Last Name:ABIDI
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 1:15411 LONGHORN CAVERN DR
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77498-7331
Mailing Address - Country:US
Mailing Address - Phone:949-702-6347
Mailing Address - Fax:
Practice Address - Street 1:6515 WESTHEIMER RD STE J
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77057-5101
Practice Address - Country:US
Practice Address - Phone:832-742-7749
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-10
Last Update Date:2022-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX38880122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist