Provider Demographics
NPI:1467789636
Name:HABIB, HOWARD
Entity Type:Individual
Prefix:
First Name:HOWARD
Middle Name:
Last Name:HABIB
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 1:1541 JUNIPER LN
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75149-2676
Mailing Address - Country:US
Mailing Address - Phone:469-441-4459
Mailing Address - Fax:972-499-7338
Practice Address - Street 1:1541 JUNIPER LN
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75149-2676
Practice Address - Country:US
Practice Address - Phone:469-441-4459
Practice Address - Fax:972-499-7338
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-09
Last Update Date:2011-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor
No372600000XNursing Service Related ProvidersAdult Companion
No374U00000XNursing Service Related ProvidersHome Health Aide