Provider Demographics
NPI:1427444322
Name:BATAINEH, HAZEM
Entity type:Individual
Prefix:
First Name:HAZEM
Middle Name:
Last Name:BATAINEH
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 1:608 LUNDY ST
Mailing Address - Street 2:
Mailing Address - City:EL CAMPO
Mailing Address - State:TX
Mailing Address - Zip Code:77437-3518
Mailing Address - Country:US
Mailing Address - Phone:281-904-9443
Mailing Address - Fax:979-282-2956
Practice Address - Street 1:608 LUNDY ST
Practice Address - Street 2:
Practice Address - City:EL CAMPO
Practice Address - State:TX
Practice Address - Zip Code:77437-3518
Practice Address - Country:US
Practice Address - Phone:281-904-9443
Practice Address - Fax:979-282-2956
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-08
Last Update Date:2015-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)