Basic Information
| Provider Information | |||||||||
| NPI: | 1740482538 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ZAKI | ||||||||
| FirstName: | HENA | ||||||||
| MiddleName: | FAROOQ | ||||||||
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| Credential: | DO | ||||||||
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| Mailing Information | |||||||||
| Address1: | 9000 MCMULLEN DR | ||||||||
| Address2: | |||||||||
| City: | PLANO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 750254450 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2147636739 | ||||||||
| FaxNumber: | 2142064979 | ||||||||
| Practice Location | |||||||||
| Address1: | 777 HIDDEN RDG | ||||||||
| Address2: | |||||||||
| City: | IRVING | ||||||||
| State: | TX | ||||||||
| PostalCode: | 750383802 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9726454442 | ||||||||
| FaxNumber: | 9729572751 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/04/2007 | ||||||||
| LastUpdateDate: | 03/18/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 03/18/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | N5502 | TX | Y | Allopathic & Osteopathic Physicians | Family Medicine |
ID Information
| ID | Type | State | Issuer | Description | BP1-0026112 | 01 | INSTITUTIONAL PERMIT | OTHER |