Provider Demographics
NPI:1407307796
Name:ZANE K. HAIDER DMD PLLC
Entity Type:Organization
Organization Name:ZANE K. HAIDER DMD PLLC
Other - Org Name:ORTHOTEX SMILE SPECIALISTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER / ORTHODONTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ZANE
Authorized Official - Middle Name:
Authorized Official - Last Name:HAIDER
Authorized Official - Suffix:
Authorized Official - Credentials:DMD MS
Authorized Official - Phone:281-937-2540
Mailing Address - Street 1:2540 FM 2920 RD
Mailing Address - Street 2:SUITE H
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77388-3672
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2540 FM 2920 RD
Practice Address - Street 2:SUITE H
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77388-3672
Practice Address - Country:US
Practice Address - Phone:281-937-2540
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-20
Last Update Date:2016-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX314831223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty