MEDICARE: ZOYA MASSEY NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	914850	TX
2	363L00000X	Nurse Practitioner	1098259	TX
3	363LA2100X	Acute Care Nurse Practitioner	1098259	TX

General Provider Information

NPI Number	:	1578226924
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ZOYA MASSEY NP

Provider Business Mailing Address
First Line	:	4235 FEAGAN ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77007-5715
Country	:	US
Telephone Number	:	281-409-4532
Fax Number	:

Provider Business Practice Location Address
First Line	:	6411 FANNIN STREET
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-6524
Country	:	US
Telephone Number	:	713-500-3130
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/21/2021
Last Update Date	:	04/29/2024

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