Provider Demographics
NPI:1235286295
Name:HUSAIN, SYED RASHID (MD)
Entity Type:Individual
Prefix:DR
First Name:SYED
Middle Name:RASHID
Last Name:HUSAIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:MR
Other - First Name:SYED
Other - Middle Name:RASHID
Other - Last Name:HUSAIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:7020 N 1ST ST
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-1928
Mailing Address - Country:US
Mailing Address - Phone:956-424-7100
Mailing Address - Fax:956-424-7111
Practice Address - Street 1:3005 N CONWAY AVE.
Practice Address - Street 2:
Practice Address - City:MISSION
Practice Address - State:TX
Practice Address - Zip Code:78574
Practice Address - Country:US
Practice Address - Phone:956-424-7100
Practice Address - Fax:956-424-7111
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-04
Last Update Date:2015-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM1777208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX178731901Medicaid
TX8F2075Medicare ID - Type UnspecifiedMEDICARE NUMBER