Healthcare Provider Details

I. General information

NPI: 1538488010
Provider Name (Legal Business Name): ZUHAIR M. SHIHAB, M.D.,P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/24/2010
Last Update Date: 11/16/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4003 22ND ST
LUBBOCK TX
79410-1115
US

IV. Provider business mailing address

4003 22ND ST
LUBBOCK TX
79410-1115
US

V. Phone/Fax

Practice location:
  • Phone: 806-792-3400
  • Fax: 806-792-2023
Mailing address:
  • Phone: 806-792-3400
  • Fax: 806-792-2023

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberG2845
License Number StateTX

VIII. Authorized Official

Name: MRS. MALISA GAYE HENRY
Title or Position: OFFICE MANAGER
Credential:
Phone: 806-792-3400