Healthcare Provider Details

I. General information

NPI: 1568776177
Provider Name (Legal Business Name): BASHAR ZLEIK MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/06/2010
Last Update Date: 10/15/2024
Certification Date: 10/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4615 SOUTHWEST FWY STE 1000
HOUSTON TX
77027-7108
US

IV. Provider business mailing address

PO BOX 58538
WEBSTER TX
77598-8538
US

V. Phone/Fax

Practice location:
  • Phone: 281-482-3287
  • Fax: 832-318-8885
Mailing address:
  • Phone: 281-482-3287
  • Fax: 832-318-8885

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberS8268
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code2084S0012X
TaxonomySleep Medicine (Psychiatry & Neurology) Physician
License NumberS8268
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: