Provider Demographics
NPI:1780011452
Name:ABBAS, KANWAL FATIMA
Entity Type:Individual
Prefix:
First Name:KANWAL
Middle Name:FATIMA
Last Name:ABBAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8211 POLISHED STONE CIR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77095-4538
Mailing Address - Country:US
Mailing Address - Phone:832-713-2949
Mailing Address - Fax:
Practice Address - Street 1:8211 POLISHED STONE CIR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77095-4538
Practice Address - Country:US
Practice Address - Phone:832-713-2949
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-26
Last Update Date:2013-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX53816183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist