Provider Demographics
NPI:1750596904
Name:AL-HAFEZ, BARAA (MD)
Entity type:Individual
Prefix:
First Name:BARAA
Middle Name:
Last Name:AL-HAFEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:4601 PARK RD
Mailing Address - Street 2:STE 300
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28209-2290
Mailing Address - Country:US
Mailing Address - Phone:713-242-4410
Mailing Address - Fax:713-242-4412
Practice Address - Street 1:10496 KATY FWY
Practice Address - Street 2:STE 101
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77043-5106
Practice Address - Country:US
Practice Address - Phone:346-571-7500
Practice Address - Fax:713-492-2440
Is Sole Proprietor?:No
Enumeration Date:2007-05-11
Last Update Date:2017-11-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXP6764207T00000X, 207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX326733802Medicaid