Provider Demographics
NPI:1750049334
Name:EL-SAYED-ABDALLAH, FATME (OD)
Entity Type:Individual
Prefix:
First Name:FATME
Middle Name:
Last Name:EL-SAYED-ABDALLAH
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:FATME
Other - Middle Name:
Other - Last Name:ELSAYED
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:OD
Mailing Address - Street 1:18030 N US HIGHWAY 281
Mailing Address - Street 2:STE 250B
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78232-1416
Mailing Address - Country:US
Mailing Address - Phone:210-402-0746
Mailing Address - Fax:
Practice Address - Street 1:8222 AGORA PKWY
Practice Address - Street 2:
Practice Address - City:SELMA
Practice Address - State:TX
Practice Address - Zip Code:78154-1318
Practice Address - Country:US
Practice Address - Phone:210-307-9389
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-01
Last Update Date:2022-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10476152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist