Basic Information
| Provider Information | |||||||||
| NPI: | 1659506822 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | AL-MOHTASEB | ||||||||
| FirstName: | ZAINA | ||||||||
| MiddleName: | NABIL | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6565 FANNIN ST # NC205 | ||||||||
| Address2: | |||||||||
| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 770302703 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7137983027 | ||||||||
| FaxNumber: | 7137983027 | ||||||||
| Practice Location | |||||||||
| Address1: | 6565 FANNIN ST # NC205 | ||||||||
| Address2: | |||||||||
| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 770302703 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7137983027 | ||||||||
| FaxNumber: | 7137983027 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/18/2009 | ||||||||
| LastUpdateDate: | 11/06/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 11/06/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207W00000X | Q0858 | TX | Y | Allopathic & Osteopathic Physicians | Ophthalmology |
No ID Information.