Provider Demographics
NPI:1912210600
Name:ADNAN J. HUSSEIN MD PA
Entity Type:Organization
Organization Name:ADNAN J. HUSSEIN MD PA
Other - Org Name:DURHAM MEDICAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ADNAN
Authorized Official - Middle Name:JAWHAR
Authorized Official - Last Name:HUSSEIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-861-4090
Mailing Address - Street 1:PO BOX 426
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:TX
Mailing Address - Zip Code:77545-0426
Mailing Address - Country:US
Mailing Address - Phone:713-861-4090
Mailing Address - Fax:713-861-3434
Practice Address - Street 1:427 W. 20TH STREET
Practice Address - Street 2:#705
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77008-2433
Practice Address - Country:US
Practice Address - Phone:713-861-4090
Practice Address - Fax:713-861-3434
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ADNAN J. HUSSEIN MD PA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-07-22
Last Update Date:2011-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK3756207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX031089801Medicaid
TX1730299124OtherFIRST NPI NUMBER
TXG55871Medicare UPIN
TX0076BXMedicare PIN