Basic Information
Provider Information
NPI: 1417389206
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ALSAEDI
FirstName: MUHANED
MiddleName: GA
NamePrefix:  
NameSuffix:  
Credential: M.D
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2925 BRIARPARK DR STE 575
Address2:  
City: HOUSTON
State: TX
PostalCode: 770423776
CountryCode: US
TelephoneNumber: 8326262842
FaxNumber: 8326262842
Practice Location
Address1: 7120 FM 1960 RD E
Address2:  
City: HUMBLE
State: TX
PostalCode: 773462702
CountryCode: US
TelephoneNumber: 2817838162
FaxNumber:  
Other Information
ProviderEnumerationDate: 08/02/2013
LastUpdateDate: 08/30/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 08/30/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208600000XBP10045202TXN Allopathic & Osteopathic PhysiciansSurgery 
208D00000XQ2229TXN Allopathic & Osteopathic PhysiciansGeneral Practice 
207Q00000XQ2229TXY Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


Home