Provider Demographics
NPI:1265469118
Name:RIZK, MAGDY W (MD)
Entity Type:Individual
Prefix:
First Name:MAGDY
Middle Name:W
Last Name:RIZK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12121 RICHMOND AVE
Mailing Address - Street 2:SUITE 317
Mailing Address - City:HOUGTON
Mailing Address - State:TX
Mailing Address - Zip Code:77082
Mailing Address - Country:US
Mailing Address - Phone:281-870-9600
Mailing Address - Fax:281-870-9693
Practice Address - Street 1:12121 RICHMOND AVE
Practice Address - Street 2:SUITE 317
Practice Address - City:HOUGTON
Practice Address - State:TX
Practice Address - Zip Code:77082
Practice Address - Country:US
Practice Address - Phone:281-870-9600
Practice Address - Fax:281-870-9693
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2010-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG2466207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX033442701Medicaid
C21113Medicare UPIN
TX033442701Medicaid