Provider Demographics
NPI:1508438672
Name:HUSSAIN, NADIA (DPM)
Entity type:Individual
Prefix:
First Name:NADIA
Middle Name:
Last Name:HUSSAIN
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:950 N 19TH ST STE 100
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79601-2420
Mailing Address - Country:US
Mailing Address - Phone:325-670-6370
Mailing Address - Fax:833-464-4902
Practice Address - Street 1:950 N 19TH ST STE 100
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79601-2420
Practice Address - Country:US
Practice Address - Phone:325-670-6370
Practice Address - Fax:833-464-4902
Is Sole Proprietor?:No
Enumeration Date:2021-07-16
Last Update Date:2024-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX692169213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery