Provider Demographics
NPI:1821465949
Name:DR. ADEEB ASSOCIATED
Entity Type:Organization
Organization Name:DR. ADEEB ASSOCIATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ADEEB
Authorized Official - Middle Name:
Authorized Official - Last Name:DWAIRY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-731-0619
Mailing Address - Street 1:572 BOMAR ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77006-1407
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:572 BOMAR ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77006-1407
Practice Address - Country:US
Practice Address - Phone:281-731-0619
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-24
Last Update Date:2015-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty