MEDICARE: HAIDER FOURTEEN INC

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	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1619765120
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HAIDER FOURTEEN INC

Provider Business Mailing Address
First Line	:	9311 MORLEY LAKE DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77095-7262
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9311 MORLEY LAKE DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77095-7262
Country	:	US
Telephone Number	:	866-949-1849
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SYED RIZVI
Credential	:
Telephone Number	:	325-298-7547

Provider Enumeration Date	:	04/26/2025
Last Update Date	:	05/30/2025

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Directions to “HAIDER FOURTEEN INC ” Practice Location

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