Provider Demographics
NPI:1225295538
Name:ZAMAN DENTAL, P.A.
Entity Type:Organization
Organization Name:ZAMAN DENTAL, P.A.
Other - Org Name:GARDEN OAKS DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:RUBINA
Authorized Official - Middle Name:KHALID
Authorized Official - Last Name:ZAMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:713-880-4300
Mailing Address - Street 1:1415 NORTH LOOP W STE 920
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77008-1658
Mailing Address - Country:US
Mailing Address - Phone:713-880-4300
Mailing Address - Fax:713-862-3565
Practice Address - Street 1:1415 NORTH LOOP W STE 920
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77008-1658
Practice Address - Country:US
Practice Address - Phone:713-880-4300
Practice Address - Fax:713-862-3565
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-22
Last Update Date:2008-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX19893305R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1822553-01Medicaid