Healthcare Provider Details

I. General information

NPI: 1285173690
Provider Name (Legal Business Name): LAITH ALZWERI MBBS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/17/2017
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

780 CLEAR LAKE CITY BLVD BLDG 2
WEBSTER TX
77598-5500
US

IV. Provider business mailing address

PO BOX 58538
WEBSTER TX
77598-8538
US

V. Phone/Fax

Practice location:
  • Phone: 346-202-0822
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208800000X
TaxonomyUrology Physician
License NumberT9051
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: