Healthcare Provider Details

I. General information

NPI: 1689278285
Provider Name (Legal Business Name): NORTH HOUSTON KIDNEY SPECIALIST LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/24/2020
Last Update Date: 11/24/2020
Certification Date: 11/24/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 SKYFLOWER DR
SPRING TX
77381-2981
US

IV. Provider business mailing address

30 SKYFLOWER DR
SPRING TX
77381-2981
US

V. Phone/Fax

Practice location:
  • Phone: 832-640-0544
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. SYED ZAIDI
Title or Position: PRESIDENT
Credential: MD
Phone: 832-640-0544