Provider Demographics
NPI:1811906480
Name:ABDULLA, AMINA
Entity type:Individual
Prefix:
First Name:AMINA
Middle Name:
Last Name:ABDULLA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7324 SOUTHWEST FWY
Mailing Address - Street 2:SUITE 640
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-2012
Mailing Address - Country:US
Mailing Address - Phone:713-484-5105
Mailing Address - Fax:713-988-9550
Practice Address - Street 1:7324 SOUTHWEST FWY
Practice Address - Street 2:SUITE 640
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-2012
Practice Address - Country:US
Practice Address - Phone:713-484-5105
Practice Address - Fax:713-988-9550
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2008-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG68592084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8G2573Medicare PIN