Provider Demographics
NPI:1497921522
Name:NU MEDICAL & PREVENTIVE CARE CLINIC, P.A.
Entity Type:Organization
Organization Name:NU MEDICAL & PREVENTIVE CARE CLINIC, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:SYED
Authorized Official - Middle Name:NAVAID
Authorized Official - Last Name:ZAIDI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:832-217-9717
Mailing Address - Street 1:5900 CHIMNEY ROCK RD
Mailing Address - Street 2:SUITE T
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77081-2706
Mailing Address - Country:US
Mailing Address - Phone:713-838-1300
Mailing Address - Fax:713-838-8980
Practice Address - Street 1:5900 CHIMNEY ROCK RD
Practice Address - Street 2:SUITE T
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77081-2706
Practice Address - Country:US
Practice Address - Phone:713-838-1300
Practice Address - Fax:713-838-8980
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-08
Last Update Date:2010-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM0982207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1800484-02Medicaid
TX1800484-01Medicaid
TX1800484-02Medicaid
G78751Medicare UPIN