Healthcare Provider Details
I. General information
NPI: 1700019882
Provider Name (Legal Business Name): ZUHAIR ALBANA MD PA
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/24/2009
Last Update Date: 07/10/2020
Certification Date: 07/10/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1946 PASADENA BLVD
PASADENA TX
77502-2742
US
IV. Provider business mailing address
2416 SHOREBROOK DR
PEARLAND TX
77584-2554
US
V. Phone/Fax
- Phone: 866-835-3631
- Fax:
- Phone: 281-741-5958
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261Q00000X |
| Taxonomy | Clinic/Center |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208M00000X |
| Taxonomy | Hospitalist Physician |
| License Number | 24251 |
| License Number State | TX |
VIII. Authorized Official
Name:
ZUHAIR
ALI ABDULLAHI
ALBANA
Title or Position: OWNER
Credential: M.D.
Phone: 281-741-5958