MEDICARE: SYED HABIB UR REHMAN ZAIDI RPH

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	1835P0018X	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	56094	TX

General Provider Information

NPI Number	:	1912531302
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SYED HABIB UR REHMAN ZAIDI RPH

Provider Business Mailing Address
First Line	:	11007 RAINY CANYON LN
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77406-1699
Country	:	US
Telephone Number	:	410-982-8342
Fax Number	:

Provider Business Practice Location Address
First Line	:	15119 WALLISVILLE RD STE 100C
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77049-4629
Country	:	US
Telephone Number	:	832-449-3016
Fax Number	:

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

Provider Enumeration Date	:	02/25/2020
Last Update Date	:	06/07/2023

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