Provider Demographics
NPI:1538364088
Name:HSE ORTHOPAEDIC SURGERY CLINIC
Entity type:Organization
Organization Name:HSE ORTHOPAEDIC SURGERY CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HAISSAM
Authorized Official - Middle Name:S
Authorized Official - Last Name:ELZAIM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-592-9100
Mailing Address - Street 1:203 N COLLEGE AVE
Mailing Address - Street 2:SUITE 3001
Mailing Address - City:CLEVELAND
Mailing Address - State:TX
Mailing Address - Zip Code:77327-4000
Mailing Address - Country:US
Mailing Address - Phone:281-592-9100
Mailing Address - Fax:281-592-9102
Practice Address - Street 1:203 N COLLEGE AVE
Practice Address - Street 2:SUITE 3001
Practice Address - City:CLEVELAND
Practice Address - State:TX
Practice Address - Zip Code:77327-4000
Practice Address - Country:US
Practice Address - Phone:281-592-9100
Practice Address - Fax:281-592-9102
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-15
Last Update Date:2010-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM6120207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty