Provider Demographics
NPI:1578315966
Name:AQQAD, QUSAI
Entity Type:Individual
Prefix:
First Name:QUSAI
Middle Name:
Last Name:AQQAD
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 1:2500 OLD FARM RD APT 1624
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77063-4439
Mailing Address - Country:US
Mailing Address - Phone:713-258-0611
Mailing Address - Fax:
Practice Address - Street 1:2500 OLD FARM RD APT 1624
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77063-4439
Practice Address - Country:US
Practice Address - Phone:713-258-0611
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-01
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst