MEDICARE: REZIK A SAQER, MD, PA

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	3336C0003X	Community/Retail Pharmacy	29436	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2137007	OTHER		PK
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1588764880
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REZIK A SAQER, MD, PA

Provider Business Mailing Address
First Line	:	3074 COLLEGE PARK DR STE B
Second Line	:
City	:	CONROE
State	:	TX
Zip	:	77384-8002
Country	:	US
Telephone Number	:	936-321-5600
Fax Number	:	936-271-3360

Provider Business Practice Location Address
First Line	:	3074 COLLEGE PARK DR STE B
Second Line	:
City	:	CONROE
State	:	TX
Zip	:	77384-8002
Country	:	US
Telephone Number	:	936-321-5600
Fax Number	:	936-271-3360

Authorized Official
Title or Position	:	PHARMACIST IN CHARGE
Name	:	BISRAT TEKLE
Credential	:
Telephone Number	:	936-321-5600

Provider Enumeration Date	:	09/25/2006
Last Update Date	:	04/21/2015

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