Provider Demographics
NPI:1790104487
Name:H&B CARE PLLC
Entity Type:Organization
Organization Name:H&B CARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:WESAM
Authorized Official - Middle Name:HASSAN
Authorized Official - Last Name:MOUSTAFA HUSSEIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:609-335-6595
Mailing Address - Street 1:13001 SUMMIT SCHOOL RD SUIT #3
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22192
Mailing Address - Country:US
Mailing Address - Phone:703-491-4134
Mailing Address - Fax:703-491-1813
Practice Address - Street 1:13001 SUMMIT SCHOOL RD STE 3
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22192-2903
Practice Address - Country:US
Practice Address - Phone:703-491-4134
Practice Address - Fax:703-491-1813
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-10
Last Update Date:2014-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101250764261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care