Provider Demographics
NPI:1932385077
Name:ABDALLAH, MAZEN ELIAS (MD)
Entity Type:Individual
Prefix:DR
First Name:MAZEN
Middle Name:ELIAS
Last Name:ABDALLAH
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:4828 LOOP CENTRAL DR STE 900
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77081-2220
Mailing Address - Country:US
Mailing Address - Phone:713-300-1123
Mailing Address - Fax:281-890-5428
Practice Address - Street 1:27700 NORTHWEST FREEWAY
Practice Address - Street 2:SUITE 430
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77433
Practice Address - Country:US
Practice Address - Phone:281-890-5216
Practice Address - Fax:281-890-5428
Is Sole Proprietor?:No
Enumeration Date:2008-01-19
Last Update Date:2024-03-27
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Provider Licenses
StateLicense IDTaxonomies
TXP6305207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXP6305OtherTEXAS PHYSICIAN LICENSE