Provider Demographics
NPI:1881601920
Name:EL-ASWAD, NAIM BASSEM (MD)
Entity type:Individual
Prefix:
First Name:NAIM
Middle Name:BASSEM
Last Name:EL-ASWAD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2363 TURNBURY ELM CT
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77386-3293
Mailing Address - Country:US
Mailing Address - Phone:936-662-9068
Mailing Address - Fax:
Practice Address - Street 1:2363 TURNBURY ELM CT
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77386-3293
Practice Address - Country:US
Practice Address - Phone:936-662-9068
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-02
Last Update Date:2011-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL4829207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX155785201Medicaid
TX8A3066Medicare Oscar/Certification
TXH77412Medicare UPIN