Healthcare Provider Details

I. General information

NPI: 1881786986
Provider Name (Legal Business Name): ZIAD AMIL HAIDAR MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: ZIAD EMIL ABOU HAIDAR MD

II. Dates (important events)

Enumeration Date: 09/28/2006
Last Update Date: 01/18/2024
Certification Date: 01/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1411 ATLANTIS DR STE A
WEBSTER TX
77598-1637
US

IV. Provider business mailing address

1411 ATLANTIS DR STE A
WEBSTER TX
77598-1637
US

V. Phone/Fax

Practice location:
  • Phone: 281-707-0939
  • Fax: 281-605-6800
Mailing address:
  • Phone: 281-707-0939
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License NumberN3414
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: