Active NPI
Ala Habboub
- Neuroradiology Physician
- Galveston, TX
National Provider Identifier
1821573247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neuroradiology Physician
- License
- BP10065450
- Practice address
- 301 University Blvd
Galveston, TX 77555-5302 - Phone
- (409) 772-3736
- NPI assigned
- Oct 2, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuroradiology Physician | 2085N0700X | BP10065450 | TX | Primary |
Addresses
Primary practice location
301 University Blvd
Galveston, TX 77555-5302
Mailing address
7106 N Holiday Dr
Galveston, TX 77550-3031
Phone (409) 526-9842
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BP10065450 | TX | MD | Neuroradiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538438400000",
"number": "1821573247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7106 N HOLIDAY DR",
"city": "GALVESTON",
"state": "TX",
"postal_code": "775503031",
"telephone_number": "409-526-9842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 UNIVERSITY BLVD",
"city": "GALVESTON",
"state": "TX",
"postal_code": "775555302",
"telephone_number": "409-772-3736"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HABBOUB",
"first_name": "ALA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-10-02",
"last_updated": "2018-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "2085N0700X",
"taxonomy_group": "",
"desc": "Radiology, Neuroradiology",
"state": "TX",
"license": "BP10065450",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Galveston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.