MEDICARE: NADIM NASIR JR. M.D.

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	207RC0001X	Clinical Cardiac Electrophysiology Physician	H2637	TX
2	207RC0001X	Clinical Cardiac Electrophysiology Physician	207RC0001X	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	H2637	OTHER	TX	LICENSE

General Provider Information

NPI Number	:	1952364788
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NADIM NASIR JR. M.D.

Provider Business Mailing Address
First Line	:	6560 FANNIN ST
Second Line	:	SUITE 620
City	:	HOUSTON
State	:	TX
Zip	:	77030-2725
Country	:	US
Telephone Number	:	713-791-1978
Fax Number	:	713-791-1870

Provider Business Practice Location Address
First Line	:	13300 HARGRAVE RD
Second Line	:	SUITE 500
City	:	HOUSTON
State	:	TX
Zip	:	77070-4373
Country	:	US
Telephone Number	:	281-890-4848
Fax Number	:	281-890-4885

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

Provider Enumeration Date	:	04/11/2006
Last Update Date	:	01/06/2012

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