Provider Demographics
NPI:1598778201
Name:AL-SAHLI, SUHAIL S
Entity Type:Individual
Prefix:DR
First Name:SUHAIL
Middle Name:S
Last Name:AL-SAHLI
Suffix:
Gender:M
Credentials:
Other - Prefix:DR
Other - First Name:SUHAIL
Other - Middle Name:S
Other - Last Name:AL-SAHLI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:1210 NASA PKWY
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77058
Mailing Address - Country:US
Mailing Address - Phone:281-333-1377
Mailing Address - Fax:281-333-0442
Practice Address - Street 1:1210A NASA PKWY
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77058-3304
Practice Address - Country:US
Practice Address - Phone:281-333-1377
Practice Address - Fax:281-333-0442
Is Sole Proprietor?:No
Enumeration Date:2006-08-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDC6951111NX0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0100XChiropractic ProvidersChiropractorOccupational Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXC06055959Medicaid
TXU64399Medicare UPIN
TXC06055959Medicaid