Provider Demographics
NPI:1487684783
Name:ZOGHBI, WILLIAM (MD)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:
Last Name:ZOGHBI
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 1:6550 FANNIN ST
Mailing Address - Street 2:SMITH TOWER, SUITE 1901
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2717
Mailing Address - Country:US
Mailing Address - Phone:713-441-1100
Mailing Address - Fax:713-790-2643
Practice Address - Street 1:6550 FANNIN ST
Practice Address - Street 2:SMITH TOWER, SUITE 1901
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2717
Practice Address - Country:US
Practice Address - Phone:713-441-1100
Practice Address - Fax:713-790-2643
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2014-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF5810207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX130531008Medicaid
TX130531010Medicaid
TX8U8380OtherBLUE CROSS BLUE SHIELD
TXP01037082OtherRR MEDICARE
LA1893862Medicaid
TX130531009Medicaid
TXP01309353OtherRR MEDICARE
TX130531007Medicaid
TXP00295790OtherRAILROAD MEDICARE
TX8U8380OtherBLUE CROSS BLUE SHIELD
TX130531010Medicaid
TXP01037082OtherRR MEDICARE
TX8L4979Medicare PIN
TX130531009Medicaid