Provider Demographics
NPI:1669615316
Name:ABOUL-ENEIN, FAISAL H (PHD, MSN, MPH, NP)
Entity type:Individual
Prefix:DR
First Name:FAISAL
Middle Name:H
Last Name:ABOUL-ENEIN
Suffix:
Gender:M
Credentials:PHD, MSN, MPH, NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13606 CANEY SPRINGS LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77044-7290
Mailing Address - Country:US
Mailing Address - Phone:832-731-5398
Mailing Address - Fax:
Practice Address - Street 1:13606 CANEY SPRINGS LN
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77044-7290
Practice Address - Country:US
Practice Address - Phone:832-731-5398
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-10
Last Update Date:2009-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX665638363LF0000X, 364SC1501X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No364SC1501XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistCommunity Health/Public Health