Healthcare Provider Details

I. General information

NPI: 1588764609
Provider Name (Legal Business Name): ZAINA MUSSA FARAH DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/25/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11550 LOUETTA RD STE 400
HOUSTON TX
77070-1369
US

IV. Provider business mailing address

11550 LOUETTA RD STE 400
HOUSTON TX
77070-1369
US

V. Phone/Fax

Practice location:
  • Phone: 281-320-0400
  • Fax:
Mailing address:
  • Phone: 281-320-0400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number18870
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: