Active NPI
Nashaat B Ibraheim MD PA
- Family Medicine Physician
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- K4089
- Legal business name
- NASHAAT B IBRAHEIM MD PA
- Practice address
- 12121 Richmond Ave
Suite 412
Houston, TX 77082-2432 - Phone
- (281) 558-5656
- Fax
- (281) 558-5667
- NPI assigned
- Oct 30, 2007
- Last updated
- Aug 11, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nashaat Botrous Ibraheim, MD.
- Title
- Family Practice Doctor
- Phone
- (281) 558-5656
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | K4089 | TX | Primary |
Addresses
Primary practice location
12121 Richmond Ave
Suite 412
Houston, TX 77082-2432
Mailing address
12121 Richmond Ave Ste 412
Houston, TX 77082-2439
Phone (281) 558-5656
National Provider Directory
National Provider DirectoryLocations
12121 Richmond Ave
Ste 412
Houston, TX 77082
Phone (281) 496-1700
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Houston, TX
- NPI 1659594752
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193702400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1281484800000",
"number": "1871772541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12121 RICHMOND AVE STE 412",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770822439",
"telephone_number": "281-558-5656",
"fax_number": "281-558-5667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12121 RICHMOND AVE",
"address_2": "SUITE 412",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770822432",
"telephone_number": "281-558-5656",
"fax_number": "281-558-5667"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NASHAAT B IBRAHEIM MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-30",
"last_updated": "2010-08-11",
"status": "A",
"authorized_official_last_name": "IBRAHEIM",
"authorized_official_first_name": "NASHAAT",
"authorized_official_middle_name": "BOTROUS",
"authorized_official_title_or_position": "FAMILY PRACTICE DOCTOR",
"authorized_official_telephone_number": "281-558-5656",
"authorized_official_credential": "MD."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "TX",
"license": "K4089",
"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 Aug 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.