Healthcare Provider Details
I. General information
NPI: 1245410562
Provider Name (Legal Business Name): ZIAD AMR M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 11/05/2007
Last Update Date: 02/01/2022
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
21216 NORTHWEST FWY SUITE #250
CYPRESS TX
77429-1439
US
IV. Provider business mailing address
21216 NORTHWEST FWY SUITE #250
CYPRESS TX
77429-1439
US
V. Phone/Fax
- Phone: 713-426-2400
- Fax: 713-426-3204
- Phone: 713-426-2400
- Fax: 713-426-3204
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208600000X |
| Taxonomy | Surgery Physician |
| License Number | M4697 |
| License Number State | TX |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: