Individual provider Active NPI

Adnan Trabulsi, MD

  • Pediatrics Physician
  • Houston, TX
National Provider Identifier
1457459513
Registry record updated Jun 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
L2704 Issued in TX
Practice address
11450 Space Center Blvd Ste 100
Houston, TX 77059-3642
Phone
(281) 991-7000
Fax
(281) 991-7003
NPI assigned
Sep 20, 2006
Last updated
Jun 19, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X L2704 TX Primary

Addresses

Primary practice location

11450 Space Center Blvd Ste 100
Houston, TX 77059-3642

Mailing address

5411 Summer Oak Dr
Pasadena, TX 77505-3026
Phone (713) 944-2324

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
L2704TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Medical Center, PA Pediatrics PastSince Jan 4, 2026 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340064000000",
    "number": "1457459513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5411 SUMMER OAK DR",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775053026",
            "telephone_number": "713-944-2324",
            "fax_number": "713-944-1539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11450 SPACE CENTER BLVD STE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770593642",
            "telephone_number": "281-991-7000",
            "fax_number": "281-991-7003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRABULSI",
        "first_name": "ADNAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2012-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "L2704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.