Provider Demographics
NPI:1932574399
Name:SAEI, ABDULRAHMAN (AGNP)
Entity Type:Individual
Prefix:
First Name:ABDULRAHMAN
Middle Name:
Last Name:SAEI
Suffix:
Gender:M
Credentials:AGNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5001 N MESA ST APT 2209
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79912-5922
Mailing Address - Country:US
Mailing Address - Phone:915-241-4811
Mailing Address - Fax:
Practice Address - Street 1:1316 N YARBROUGH DR
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79925-7800
Practice Address - Country:US
Practice Address - Phone:915-772-5400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-12-09
Last Update Date:2015-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP129807363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health