Provider Demographics
NPI:1326712589
Name:HOUARI, FADWA ESSABBAR (OD)
Entity Type:Individual
Prefix:
First Name:FADWA
Middle Name:ESSABBAR
Last Name:HOUARI
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5290 BELT LINE RD
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75254-7544
Mailing Address - Country:US
Mailing Address - Phone:214-983-9538
Mailing Address - Fax:
Practice Address - Street 1:5290 BELT LINE RD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75254-7544
Practice Address - Country:US
Practice Address - Phone:214-983-9538
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-02
Last Update Date:2023-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10332152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist