Provider Demographics
NPI:1699817528
Name:NBC HEALTHCARE CENTER INC
Entity type:Organization
Organization Name:NBC HEALTHCARE CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIUDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SUHAIL
Authorized Official - Middle Name:
Authorized Official - Last Name:AL-SAHLI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:281-333-1377
Mailing Address - Street 1:1210 NASA ROAD.1
Mailing Address - Street 2:
Mailing Address - City:NASSAUBAY
Mailing Address - State:TX
Mailing Address - Zip Code:77058
Mailing Address - Country:US
Mailing Address - Phone:281-333-1377
Mailing Address - Fax:
Practice Address - Street 1:1210 NASA ROAD.1
Practice Address - Street 2:
Practice Address - City:NASSAU BAY
Practice Address - State:TX
Practice Address - Zip Code:77058
Practice Address - Country:US
Practice Address - Phone:281-333-1377
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX004HJOtherBLUECROSS BLUE SHEILD
TX004HJOtherBLUECROSS BLUE SHEILD