Ehab Abdelaziz
Individual provider Active NPI Family Medicine Physician · San Antonio, TX
NPI 1740972124 · NPPES record last updated May 31, 2026
Key facts
- NPI
- 1740972124
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- W4398 (TX)
- Practice address
- 12000 Huebner Rd
San Antonio, TX 78230-1213 - Phone
- (210) 561-2422
- NPI assigned
- May 23, 2023
- Sex
- Male
- Sole proprietor
- No
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2021
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1200 Binz St
Houston, TX 77004-6997
2000 Health Park Dr
Brentwood, TN 37027-4692
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260611003775 | TX | Practitioner - Family Practice | 6709358658 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| W4398 | TX | MD | Family Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | W4398 | TX | Yes |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
12000 Huebner Rd
San Antonio, TX 78230-1213
Mailing address
8434 Pico de Aguila
San Antonio, TX 78255-3377
Phone (210) 543-7267
Other practice location 1
530 S Maiden Ln
Joplin, MO 64801-3084
Phone (417) 782-6200
Other providers in San Antonio, TX
- Hosam Ahmad Diab Abdallah
- Murad Abdel-Qader
- Waseem Abdel-Qader
- Mohamed Saber Abdel-Rehim
- Ayham Mohamad Abdel
- Adham A Abdelfattah
- Ahmed Abdelkarim
- Kamel Abdellaoui
- Elfadil Abdelmagid
- Peter Abdelmalik
All providers in San Antonio, TX · Family Medicine Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 31, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.