Healthcare Provider Details

I. General information

NPI: 1699600106
Provider Name (Legal Business Name): TAHEREH NAZARI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2026
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7616 BRANFORD PL STE 220
SUGAR LAND TX
77479-3794
US

IV. Provider business mailing address

6520 MCMAHAN DR
LEAGUE CITY TX
77573-1550
US

V. Phone/Fax

Practice location:
  • Phone: 409-974-3388
  • Fax:
Mailing address:
  • Phone: 409-974-3388
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: