Provider Demographics
NPI:1124319298
Name:SHAMMAS, SAAD
Entity type:Individual
Prefix:
First Name:SAAD
Middle Name:
Last Name:SHAMMAS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1201 DAIRY ASHFORD RD 200
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77079-3017
Mailing Address - Country:US
Mailing Address - Phone:713-407-3000
Mailing Address - Fax:713-407-3035
Practice Address - Street 1:16001 PARK TEN PL STE 300
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77084-7885
Practice Address - Country:US
Practice Address - Phone:713-407-3000
Practice Address - Fax:713-407-3035
Is Sole Proprietor?:No
Enumeration Date:2011-04-25
Last Update Date:2019-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ3289207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine