Provider Demographics
NPI:1497967194
Name:EL-OSTA, HAZEM EDMOND (MD)
Entity Type:Individual
Prefix:
First Name:HAZEM
Middle Name:EDMOND
Last Name:EL-OSTA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:6410 FANNIN ST
Mailing Address - Street 2:SUITE 830
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-3000
Mailing Address - Country:US
Mailing Address - Phone:832-325-7702
Mailing Address - Fax:713-512-7132
Practice Address - Street 1:6400 FANNIN ST
Practice Address - Street 2:SUITE 2900
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-1521
Practice Address - Country:US
Practice Address - Phone:832-325-7702
Practice Address - Fax:713-512-7132
Is Sole Proprietor?:No
Enumeration Date:2007-05-04
Last Update Date:2017-01-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LAMD.203644207R00000X, 207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine