Provider Demographics
NPI:1881584738
Name:ABU TABRA, YASER (DDS)
Entity type:Individual
Prefix:
First Name:YASER
Middle Name:
Last Name:ABU TABRA
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:YASER
Other - Middle Name:TALIB
Other - Last Name:ABU TABRA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:2146 MORNING PARK DR
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-2147
Mailing Address - Country:US
Mailing Address - Phone:832-581-0645
Mailing Address - Fax:
Practice Address - Street 1:12168 BELLAIRE BLVD STE 100
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77072-2642
Practice Address - Country:US
Practice Address - Phone:281-400-1111
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-03
Last Update Date:2025-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX41709122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist