Provider Demographics
NPI:1467694174
Name:OSAMA B. NAHAS M.D. P.A.
Entity Type:Organization
Organization Name:OSAMA B. NAHAS M.D. P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:OSAMA
Authorized Official - Middle Name:B
Authorized Official - Last Name:NAHAS
Authorized Official - Suffix:
Authorized Official - Credentials:M,D,
Authorized Official - Phone:956-683-7473
Mailing Address - Street 1:2505 W TRENTON RD
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78539-5070
Mailing Address - Country:US
Mailing Address - Phone:956-683-7473
Mailing Address - Fax:956-683-1900
Practice Address - Street 1:2505 W TRENTON RD
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-5070
Practice Address - Country:US
Practice Address - Phone:956-683-7473
Practice Address - Fax:956-683-1900
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-26
Last Update Date:2019-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ9233207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX6590170001OtherMEDICARE DME