Hussamaddin Al-Khadour MD PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

L1257 Issued in TX

Legal business name

HUSSAMADDIN AL-KHADOUR MD PA

Doing business as

Legacy Primary Care

Practice address

616 Cypress Creek Pkwy Ste 300
Houston, TX 77090-3025

Phone

(281) 364-8787

Fax

(713) 636-9088

NPI assigned

Oct 26, 2010

Organization subpart

No

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

Authorized official

Name

Hussamaddin Al Khadour, MD

Title

President

Phone

(281) 364-8787

Specialties & licenses 2

Addresses

Other names 1

• Legacy Primary Care Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1288051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725494400000",
    "number": "1528368479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 CYPRESS CREEK PKWY STE 300",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770903025",
            "telephone_number": "281-364-8787",
            "fax_number": "713-636-9088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 CYPRESS CREEK PKWY STE 300",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770903025",
            "telephone_number": "281-364-8787",
            "fax_number": "713-636-9088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUSSAMADDIN AL-KHADOUR MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-26",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A",
        "authorized_official_last_name": "AL KHADOUR",
        "authorized_official_first_name": "HUSSAMADDIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-364-8787",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L1257",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L1257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Legacy Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sonia Hussain, OTR/L
• Wajeeha Hussain
• Yanis Hussain, D.C.
• Zeiad Hussain, MB CHB
• Zoya Hussain, D.O.
• Adnan J Hussein, MD
• Ahmed Hussein
• Ammar Ali Hussein
• Asha Hussein, MA, LPC
• Aya Hussein

• Internal Medicine Physician in Houston, TX
• Providers in Houston, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.