Provider Demographics
NPI:1922499086
Name:HUMA HAMID, PC
Entity Type:Organization
Organization Name:HUMA HAMID, PC
Other - Org Name:CYPRESS DENTAL CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HUMA
Authorized Official - Middle Name:
Authorized Official - Last Name:HAMID
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-523-2806
Mailing Address - Street 1:11803 GRANT RD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-4032
Mailing Address - Country:US
Mailing Address - Phone:281-374-9255
Mailing Address - Fax:281-758-8130
Practice Address - Street 1:11803 GRANT RD
Practice Address - Street 2:SUITE 202
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-4032
Practice Address - Country:US
Practice Address - Phone:281-374-9255
Practice Address - Fax:281-758-8130
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-11
Last Update Date:2015-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX260421223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX2182180Medicaid