Provider Demographics
NPI:1093414864
Name:HUSSAIN, ZAINAB (PA)
Entity Type:Individual
Prefix:MRS
First Name:ZAINAB
Middle Name:
Last Name:HUSSAIN
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31303 FM 2920 RD STE G
Mailing Address - Street 2:
Mailing Address - City:WALLER
Mailing Address - State:TX
Mailing Address - Zip Code:77484-8196
Mailing Address - Country:US
Mailing Address - Phone:936-931-3448
Mailing Address - Fax:
Practice Address - Street 1:31303 FM 2920 RD STE G
Practice Address - Street 2:
Practice Address - City:WALLER
Practice Address - State:TX
Practice Address - Zip Code:77484-8196
Practice Address - Country:US
Practice Address - Phone:936-931-3448
Practice Address - Fax:936-931-3704
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-01
Last Update Date:2023-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA16621363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Multi-Specialty