Provider Demographics
NPI:1821064304
Name:ISSA, HUSAM I (MD)
Entity Type:Individual
Prefix:
First Name:HUSAM
Middle Name:I
Last Name:ISSA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 58688
Mailing Address - Street 2:
Mailing Address - City:WEBSTER
Mailing Address - State:TX
Mailing Address - Zip Code:77598-8688
Mailing Address - Country:US
Mailing Address - Phone:281-724-8336
Mailing Address - Fax:281-336-1619
Practice Address - Street 1:600 N KOBAYASHI STE 308
Practice Address - Street 2:
Practice Address - City:WEBSTER
Practice Address - State:TX
Practice Address - Zip Code:77598-4841
Practice Address - Country:US
Practice Address - Phone:281-724-8336
Practice Address - Fax:281-336-1619
Is Sole Proprietor?:No
Enumeration Date:2006-02-24
Last Update Date:2023-02-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXN0849207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8U1163OtherBCBS
TX8L7124Medicare PIN