Active NPI 1164560595 Individual Practitioner Male Practitioner

Dr. Abdul Ali Abdellatif , MD

Internal Medicine - Nephrology • Webster, TX

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Abdul Abdellatif, MD is a certified Internal Medicine - Nephrology practicing in Webster, TX. With approximately 25 years of clinical experience since completing medical education in 2001, Dr. Abdellatif delivers high-quality medical care to the local community at 600 N KOBAYASHI STE 311.

Dr. Abdellatif maintains professional affiliations with Kidney Hypertension Transplant Clinic Of Clear Lake Pllc, Cls Health Pllc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include injection, romosozumab-aqqg, 1 mg, injection, denosumab, 1 mg, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

600 N Kobayashi Ste 311

Webster, TX 775984841

Telephone 2817248296

Associated Practice Facility / Clinic

🏢 Clear Lake Cardiology Pllc Facility NPI 1902254451

Medicare Profile & Education

Medical School

Other

Graduation Year

2001

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine - Nephrology in Webster, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

25 Yrs -1.5 yrs vs City Avg

City Avg: 26.5 Yrs

State Avg: 26.1 Yrs

Regional Practice Density

13 Specialists

Practicing in Webster, TX (1192 Statewide)

Telehealth Adoption Rate

46.2% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

68.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Abdellatif (25 Years) 25 Yrs

Webster Specialty Average (26.5 Years) 26.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3111 Injection, romosozumab-aqqg, 1 mg	13,020	12	$39.74	$10.85
J0897 Injection, denosumab, 1 mg	10,200	94	$97.20	$25.66
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	490	148	$357.00	$118.29
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	269	139	$546.00	$152.00
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	250	104	$88.25	$13.63
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	208	136	$386.09	$111.77
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	191	51	$879.00	$290.25
90966 Home dialysis services per month, patient 20 years of age or older	176	29	$879.00	$273.67
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	151	131	$521.00	$173.20
90962 Dialysis services, 1 physician visit per month (20 years or older)	133	39	$606.00	$200.12
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	113	29	$1058.00	$350.38
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	77	11	$198.26	$61.72
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	72	46	$237.00	$78.76
90935 Hemodialysis procedure with physician evaluation	33	20	$212.00	$70.69
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	33	33	$669.00	$222.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3111 Injection, romosozumab-aqqg, 1 mg	16,800	11	$38.49	$9.97
J0897 Injection, denosumab, 1 mg	8,760	91	$93.96	$23.15
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	374	131	$358.73	$116.12
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	250	98	$69.83	$13.58
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	217	122	$540.06	$158.28
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	201	134	$385.08	$120.91
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	191	56	$880.61	$290.01
90966 Home dialysis services per month, patient 20 years of age or older	180	28	$879.83	$289.35
90962 Dialysis services, 1 physician visit per month (20 years or older)	123	45	$606.00	$199.78
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	121	33	$1059.64	$314.64
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	117	102	$522.78	$172.80
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	89	17	$193.00	$64.95
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	75	56	$238.73	$73.78
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	16	16	$664.00	$223.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0897 Injection, denosumab, 1 mg	6,180	68	$84.94	$21.63
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	412	141	$315.00	$100.91
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	282	81	$914.00	$302.36
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	263	186	$400.00	$133.00
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	256	141	$562.82	$185.72
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	240	79	$99.54	$14.02
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	189	49	$1109.80	$357.14
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	184	96	$219.09	$71.81
90962 Dialysis services, 1 physician visit per month (20 years or older)	175	67	$629.83	$211.06
90966 Home dialysis services per month, patient 20 years of age or older	132	22	$915.95	$291.62
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	125	104	$608.30	$200.92
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	94	19	$213.00	$70.22
90935 Hemodialysis procedure with physician evaluation	43	34	$224.77	$73.45
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	27	27	$689.00	$229.85
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	18	$416.00	$139.28
76770 Complete ultrasound scan behind abdominal cavity	12	12	$349.00	$114.91
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$521.00	$173.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0897 Injection, denosumab, 1 mg	4,320	47	$78.63	$20.63
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	585	177	$317.98	$105.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	324	213	$403.62	$134.56
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	317	88	$923.85	$308.24
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	296	171	$563.60	$185.78
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	272	147	$220.96	$72.59
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	187	163	$615.85	$206.40
90935 Hemodialysis procedure with physician evaluation	171	123	$225.00	$74.60
90962 Dialysis services, 1 physician visit per month (20 years or older)	161	62	$634.85	$210.60
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	159	55	$116.78	$14.12
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	130	103	$417.98	$139.90
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	129	35	$1115.53	$360.04
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	122	86	$308.84	$104.00
90966 Home dialysis services per month, patient 20 years of age or older	110	19	$922.95	$297.39
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	68	17	$226.79	$76.38
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	52	52	$689.98	$227.71
74018 X-ray of abdomen, 1 view	28	23	$94.07	$30.50
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$422.00	$142.17
99219 Hospital observation care, typically 50 minutes	22	20	$413.00	$138.95
76770 Complete ultrasound scan behind abdominal cavity	19	19	$354.53	$113.29
99220 Hospital observation care, typically 70 minutes	17	17	$557.94	$188.26
76857 Limited ultrasound scan of pelvis	14	14	$151.00	$43.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0897 Injection, denosumab, 1 mg	2,162	25	$65.62	$19.34
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	1,252	277	$324.65	$106.64
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	413	104	$747.31	$249.53
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	349	264	$630.00	$210.80
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	347	221	$333.76	$110.25
90935 Hemodialysis procedure with physician evaluation	335	201	$230.00	$76.59
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	316	146	$225.00	$74.44
90962 Dialysis services, 1 physician visit per month (20 years or older)	281	85	$577.95	$193.39
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	252	153	$448.95	$148.52
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	195	122	$249.77	$81.58
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	127	104	$429.00	$143.13
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	118	45	$891.00	$296.79
90966 Home dialysis services per month, patient 20 years of age or older	100	20	$748.00	$248.90
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	92	15	$220.00	$73.39
99226 Subsequent observation care, typically 35 minutes per day	78	43	$326.00	$109.43
99219 Hospital observation care, typically 50 minutes	76	71	$423.00	$140.87
99220 Hospital observation care, typically 70 minutes	59	54	$576.00	$184.58
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	48	29	$126.58	$14.03
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	48	48	$403.00	$136.13
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	43	43	$639.51	$216.63
99225 Subsequent observation care, typically 25 minutes per day	43	32	$226.00	$76.29
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	41	33	$397.12	$114.46
76770 Complete ultrasound scan behind abdominal cavity	21	21	$352.00	$108.37
76857 Limited ultrasound scan of pelvis	17	17	$151.00	$37.70
74018 X-ray of abdomen, 1 view	15	14	$90.00	$28.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	987	213	$317.76	$105.07
J0897 Injection, denosumab, 1 mg	780	12	$58.78	$18.81
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	397	166	$220.65	$73.33
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	346	85	$734.66	$242.10
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	279	198	$619.90	$203.60
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	267	139	$439.51	$148.61
90962 Dialysis services, 1 physician visit per month (20 years or older)	256	79	$567.61	$188.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	137	93	$329.00	$110.16
90935 Hemodialysis procedure with physician evaluation	131	71	$223.89	$74.43
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	118	90	$442.81	$107.23
90966 Home dialysis services per month, patient 20 years of age or older	77	15	$732.01	$240.59
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	67	63	$420.13	$140.77
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	63	28	$876.00	$284.67
99220 Hospital observation care, typically 70 minutes	39	34	$567.15	$181.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	26	$332.11	$78.03
76937 Ultrasonic guidance for blood vessel access	27	23	$109.33	$13.87
50200 Needle biopsy of kidney	26	22	$435.31	$124.81
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	25	25	$629.48	$203.70
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	17	15	$113.41	$16.37
99226 Subsequent observation care, typically 35 minutes per day	17	16	$320.41	$107.67
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	16	13	$161.75	$53.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	1,078	255	$315.00	$105.05
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	476	198	$219.00	$73.48
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	360	259	$617.00	$203.00
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	337	83	$730.00	$237.63
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	332	156	$436.00	$147.02
90962 Dialysis services, 1 physician visit per month (20 years or older)	296	89	$563.00	$185.63
90935 Hemodialysis procedure with physician evaluation	144	67	$222.00	$72.48
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	138	87	$436.00	$111.33
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	108	73	$326.00	$109.29
90966 Home dialysis services per month, patient 20 years of age or older	105	17	$729.00	$184.73
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	71	20	$150.00	$42.77
99220 Hospital observation care, typically 70 minutes	41	36	$563.00	$181.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	40	29	$382.85	$79.74
99226 Subsequent observation care, typically 35 minutes per day	30	19	$318.00	$106.66
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	28	28	$625.00	$210.04
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	26	20	$868.00	$287.71
76937 Ultrasonic guidance for blood vessel access	18	18	$110.00	$14.73
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	17	13	$161.00	$53.63
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	15	$419.00	$138.91
50200 Needle biopsy of kidney	13	13	$448.00	$133.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	1,431	324	$315.00	$98.76
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	584	251	$219.00	$68.30
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	440	298	$617.00	$191.54
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	367	156	$436.00	$135.92
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	301	66	$730.00	$224.18
90962 Dialysis services, 1 physician visit per month (20 years or older)	208	66	$563.00	$172.63
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	181	47	$150.00	$39.84
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	155	94	$436.82	$104.59
90935 Hemodialysis procedure with physician evaluation	149	67	$222.00	$68.36
90966 Home dialysis services per month, patient 20 years of age or older	112	21	$729.00	$197.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	71	47	$326.00	$101.61
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	50	50	$625.00	$195.07
G0008 Administration of influenza virus vaccine	42	18	$50.00	$25.60
Q2037 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin)	42	18	$45.00	$16.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	42	35	$326.00	$74.40
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	39	18	$868.00	$267.90
90670 Pneumococcal vaccine for injection into muscle	37	16	$462.00	$186.03
99220 Hospital observation care, typically 70 minutes	35	22	$563.00	$175.78
99226 Subsequent observation care, typically 35 minutes per day	31	14	$318.00	$99.45
76937 Ultrasonic guidance for blood vessel access	29	25	$110.00	$13.73
50200 Needle biopsy of kidney	21	16	$448.00	$125.36
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	16	15	$379.00	$116.31

Medical Specialties & State Licenses

CMS Verified: 2026-06-02

Internal Medicine - Nephrology Primary Specialty

NUCC Taxonomy Code: 207RN0300X

State License TX M5007

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License TX M5007

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Hospital & Practice Group Affiliations

Kidney Hypertension Transplant Clinic Of Clear Lake Pllc

600 N Kobayashi, Webster, TX 775984841

Phone: 2817248296

Cls Health Pllc

11914 Astoria Blvd, Houston, TX 770896073

Phone: 8325541005

Secondary Practice Locations

4615 Southwest Fwy Ste 900

Houston, TX 770277191

Phone: 3462505650

600 N Kobayashi Ste 213

Webster, TX 775984841

Phone: 2817248296

500 N Kobayashi Ste C

Webster, TX 775984722

Phone: 2818163092

14100 Southwest Fwy Ste 500

Sugar Land, TX 774783483

Phone: 2817491010

600 N Kobayashi Ste 312

Webster, TX 775984841

Phone: 2817248296

905 W Medical Center Blvd Ste 306

Webster, TX 775984009

Phone: 2817248332

1400 Ravello Rd Ste 110

Katy, TX 774495164

Phone: 3462020820

600 N Kobayashi Ste 309

Webster, TX 775984841

Phone: 2817248332

500 N Kobayashi Ste A

Webster, TX 775984722

Phone: 2817247341

600 N Kobayashi Ste 110

Webster, TX 775984841

Phone: 2813381701

4615 Southwest Fwy Ste 1000

Houston, TX 770277108

Phone: 3467398060

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners

Dr. Katafan Achkar , MD

Internal Medicine - Nephrology

NPI 1063413235

Doctor of Medicine (M.D.)

Dr. Hussein Hussein , MD

Internal Medicine - Nephrology

NPI 1154654648

Doctor of Medicine (M.D.)

Mario Gonzalez , NP

Nurse Practitioner - Gerontology

NPI 1396377925

Nurse Practitioner

Dr. Jiries Dahu , MD

Internal Medicine - Nephrology

NPI 1467689026

Doctor of Medicine (M.D.)

Dr. Jose Perez , MD

Internal Medicine - Nephrology

NPI 1831353440

Doctor of Medicine (M.D.)

Dr. Jayanti Venkatesan , MD

Internal Medicine - Nephrology

NPI 1932158128

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events

📍

Updated Practice Location April 13, 2026

Registered at 600 N KOBAYASHI STE 311, WEBSTER, TX 775984841 (Tel: 2817248296)

📍

Updated Practice Location March 06, 2026

Registered at 600 N KOBAYASHI STE 213, WEBSTER, TX 775984841 (Tel: 2817248296)

📍

Updated Business Mailing Address August 05, 2024

Registered at PO BOX 58538, WEBSTER, TX 775988538 (Tel: 2817248296)

📍

Updated Practice Location September 21, 2023

Registered at 600 N KOBAYASHI STE 312, WEBSTER, TX 775984841 (Tel: 2817248296)

📍

Updated Business Mailing Address September 21, 2023

Registered at PO BOX 57926, WEBSTER, TX 775987926 (Tel: 2817248296)

✅

NPI Profile Active February 21, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location February 21, 2013

Registered at 500 N KOBAYASHI, SUITE A, WEBSTER, TX 775984820 (Tel: 2817241860)

📍

Updated Business Mailing Address February 21, 2013

Registered at PO BOX 58538, WEBSTER, TX 775988538 (Tel: 2817241860)

👤

Provider Name / Credentials Updated February 21, 2013

Recorded as ABDUL ABDELLATIF, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 21, 2013

Internal Medicine (License #M5007 in TX)

🟢

Initial NPI Registration & Enumeration February 01, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1164560595

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: February 01, 2007

Last Update: June 02, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 58538

Webster, TX 775988538

Phone: 2817248296

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.