MEDICARE: DR. NAGI M DEMIAN D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	204E00000X	Oral & Maxillofacial Surgery (D.M.D.)	20025	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	89D304	OTHER	TX	BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1043249287
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NAGI M DEMIAN D.D.S.

Provider Business Mailing Address
First Line	:	6560 FANNIN ST STE 1280
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-2753
Country	:	US
Telephone Number	:	713-441-5577
Fax Number	:

Provider Business Practice Location Address
First Line	:	6560 FANNIN ST STE 1280
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-2753
Country	:	US
Telephone Number	:	713-441-5577
Fax Number	:	713-793-1869

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/01/2006
Last Update Date	:	05/11/2026

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