Individual provider · Type 1 NPI

Kujtim Ismail Haderxhanaj, PA

Surgical Physician Assistant · Houston, TX

NPI number 1659478048 Active

Practice location

2002 Holcombe Blvd
Houston, TX 77030-4211

Mailing address

323 Otter Rd. Cr 1, #193
Anahuac, TX 77514

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA 01344 (TX)

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About NPI 1659478048

Kujtim Ismail Haderxhanaj, PA's National Provider Identifier is 1659478048, issued on Sep 20, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Houston, TX. The record was last updated on Jul 8, 2007.