Haitham Al-Wahab, MD
Pediatrics, Pediatric Critical Care Medicine in Houston, TX. Individual provider (NPI-1).
NPI number1225370331
StatusActive
Last updated in NPPESNov 24, 2020
Details
- NPI
- 1225370331
- Entity type
- Individual (NPI-1)
- Name
- Haitham Al-Wahab
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 27, 2013
- Certification date
- Nov 24, 2020
- Last updated
- Nov 24, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2080P0203X | Pediatrics, Pediatric Critical Care Medicine | r9462 | TX | Yes |
| 208000000X | Pediatrics | R9264 | TX |
Practice location
6431 Fannin StHouston, TX 77030-1501
Phone 713-500-6016
Mailing address
6431 Fannin StSuite Msb 3.228
Houston, TX 77030-1501
Phone 713-500-5650 · Fax 713-500-0588
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