Healthcare Provider Details

I. General information

NPI: 1528347614
Provider Name (Legal Business Name): MOHAMMAD OWAIS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/08/2011
Last Update Date: 01/09/2025
Certification Date: 01/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 PEAKWOOD DR STE 5D
HOUSTON TX
77090-2903
US

IV. Provider business mailing address

800 PEAKWOOD DR STE 5D
HOUSTON TX
77090-2903
US

V. Phone/Fax

Practice location:
  • Phone: 832-353-2498
  • Fax: 832-353-2499
Mailing address:
  • Phone: 832-353-2498
  • Fax: 832-353-2499

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberS4363
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: