Provider Demographics
NPI:1568139905
Name:HUSSEIN, NADIM (DPT)
Entity Type:Individual
Prefix:DR
First Name:NADIM
Middle Name:
Last Name:HUSSEIN
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4532 WOODBLUFF DR
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75150-8284
Mailing Address - Country:US
Mailing Address - Phone:972-322-1046
Mailing Address - Fax:
Practice Address - Street 1:3100 NC 55 HWY STE 101
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27519-8427
Practice Address - Country:US
Practice Address - Phone:919-290-2799
Practice Address - Fax:919-290-2532
Is Sole Proprietor?:No
Enumeration Date:2021-08-24
Last Update Date:2024-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1350639225100000X
NCCP026699T225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist