Provider Demographics
NPI:1972702892
Name:HUSSAIN, FEROZE ABID (MD)
Entity Type:Individual
Prefix:
First Name:FEROZE
Middle Name:ABID
Last Name:HUSSAIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1111 MEDICAL PLAZA DR
Mailing Address - Street 2:SUITE 250
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77380-3476
Mailing Address - Country:US
Mailing Address - Phone:281-419-5815
Mailing Address - Fax:281-465-4596
Practice Address - Street 1:1111 MEDICAL PLAZA DR
Practice Address - Street 2:SUITE 250
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77380-3476
Practice Address - Country:US
Practice Address - Phone:281-419-5815
Practice Address - Fax:281-465-4596
Is Sole Proprietor?:No
Enumeration Date:2007-07-11
Last Update Date:2021-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM9364207RG0100X, 207RI0008X, 208M00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No207RI0008XAllopathic & Osteopathic PhysiciansInternal MedicineHepatology
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX200489705Medicaid
TX200489706Medicaid
AZ234038-01Medicaid
TN403829ZNKTMedicare PIN
TX403829ZNKQMedicare PIN
TX200489705Medicaid
TX8L1965Medicare PIN