Provider Demographics
NPI:1780357426
Name:ABRAHIM, HEIDI N (DMD)
Entity type:Individual
Prefix:DR
First Name:HEIDI
Middle Name:N
Last Name:ABRAHIM
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12880 BEAMER RD STE C
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77089-5978
Mailing Address - Country:US
Mailing Address - Phone:281-456-3888
Mailing Address - Fax:281-456-3366
Practice Address - Street 1:12880 BEAMER RD STE C
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77089-5978
Practice Address - Country:US
Practice Address - Phone:281-456-3388
Practice Address - Fax:281-456-3366
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-28
Last Update Date:2023-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX37508122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist