Provider Demographics
NPI:1174123681
Name:ZAYED, NAHED
Entity type:Individual
Prefix:
First Name:NAHED
Middle Name:
Last Name:ZAYED
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2417 W PLEASANT RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76015-4522
Mailing Address - Country:US
Mailing Address - Phone:817-918-4900
Mailing Address - Fax:
Practice Address - Street 1:2417 W PLEASANT RIDGE RD
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76015-4522
Practice Address - Country:US
Practice Address - Phone:817-918-4900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-26
Last Update Date:2020-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX37802183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX37802OtherTEXAS STATE BOARD OF PHARMACY LIC