Provider Demographics
NPI:1770927253
Name:HUSSEIN, MOHAMED GINAWI (MBBS, MD)
Entity type:Individual
Prefix:DR
First Name:MOHAMED
Middle Name:GINAWI
Last Name:HUSSEIN
Suffix:
Gender:M
Credentials:MBBS, MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1301 SOLANA BLVD STE 2200
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE
Mailing Address - State:TX
Mailing Address - Zip Code:76262-1769
Mailing Address - Country:US
Mailing Address - Phone:832-314-5541
Mailing Address - Fax:
Practice Address - Street 1:11801 SOUTH FWY # I35W
Practice Address - Street 2:
Practice Address - City:BURLESON
Practice Address - State:TX
Practice Address - Zip Code:76028-7021
Practice Address - Country:US
Practice Address - Phone:832-314-5541
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-26
Last Update Date:2016-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXR0589207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine