Healthcare Provider Details

I. General information

NPI: 1487684783
Provider Name (Legal Business Name): WILLIAM ZOGHBI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/03/2006
Last Update Date: 07/30/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6550 FANNIN ST SMITH TOWER, SUITE 1901
HOUSTON TX
77030-2717
US

IV. Provider business mailing address

6550 FANNIN ST SMITH TOWER, SUITE 1901
HOUSTON TX
77030-2717
US

V. Phone/Fax

Practice location:
  • Phone: 713-441-1100
  • Fax: 713-790-2643
Mailing address:
  • Phone: 713-441-1100
  • Fax: 713-790-2643

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberF5810
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: