Provider Demographics
NPI:1750503728
Name:ABDALLAH, GHADA H (OD)
Entity Type:Individual
Prefix:DR
First Name:GHADA
Middle Name:H
Last Name:ABDALLAH
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:GHADA
Other - Middle Name:
Other - Last Name:HASBANI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:1010 OLD AUSTIN HUTTO RD
Mailing Address - Street 2:STE 100
Mailing Address - City:PFLUGERVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78660-4219
Mailing Address - Country:US
Mailing Address - Phone:512-252-7075
Mailing Address - Fax:512-252-8825
Practice Address - Street 1:1010 OLD AUSTIN HUTTO RD
Practice Address - Street 2:STE 100
Practice Address - City:PFLUGERVILLE
Practice Address - State:TX
Practice Address - Zip Code:78660-4219
Practice Address - Country:US
Practice Address - Phone:512-252-7075
Practice Address - Fax:512-252-8825
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-02
Last Update Date:2023-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4843-T1708152WC0802X
TX5405TG152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management