Provider Demographics
NPI:1376697045
Name:NASIR, SYED (MD)
Entity Type:Individual
Prefix:
First Name:SYED
Middle Name:
Last Name:NASIR
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 1:2050 NORTH LOOP WEST SUITE 135
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77018
Mailing Address - Country:US
Mailing Address - Phone:832-533-8872
Mailing Address - Fax:713-380-2103
Practice Address - Street 1:2050 NORTH LOOP W
Practice Address - Street 2:STE 135
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77018-8128
Practice Address - Country:US
Practice Address - Phone:832-740-4258
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-22
Last Update Date:2017-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM9530207LP2900X, 208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX197629201Medicaid
TX8L3518Medicare PIN
TX1396950895OtherTEXAS INSTITUTE FOR SPINE AND REHAB
MOH28288Medicare UPIN
TX8AA334OtherBCBSTX
TX197629202OtherCSHCN