Provider Demographics
NPI:1487158150
Name:NASSER, TAJ-ADDIN ABDO (MD)
Entity type:Individual
Prefix:DR
First Name:TAJ-ADDIN
Middle Name:ABDO
Last Name:NASSER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:TAJ
Other - Middle Name:
Other - Last Name:NASSER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:3100 N MACARTHUR BLVD
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75062-4451
Mailing Address - Country:US
Mailing Address - Phone:214-915-2932
Mailing Address - Fax:
Practice Address - Street 1:3100 N MACARTHUR BLVD
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75062-4451
Practice Address - Country:US
Practice Address - Phone:214-915-2932
Practice Address - Fax:972-570-1103
Is Sole Proprietor?:No
Enumeration Date:2018-03-19
Last Update Date:2025-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
TXT5407207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program