Provider Demographics
NPI:1275775116
Name:ZAIDI, MUSTAFA HUSNIAN (MD)
Entity Type:Individual
Prefix:
First Name:MUSTAFA
Middle Name:HUSNIAN
Last Name:ZAIDI
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 1:17515 ASTRACHAN RD
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-2704
Mailing Address - Country:US
Mailing Address - Phone:817-966-6265
Mailing Address - Fax:
Practice Address - Street 1:6902 S PEEK RD
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77407-1741
Practice Address - Country:US
Practice Address - Phone:832-390-0900
Practice Address - Fax:832-699-3377
Is Sole Proprietor?:No
Enumeration Date:2009-03-24
Last Update Date:2023-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01012449732084P0800X
TXS96362084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry