Provider Demographics
NPI:1508420563
Name:TAMZALI, INES (MD)
Entity Type:Individual
Prefix:
First Name:INES
Middle Name:
Last Name:TAMZALI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MISS
Other - First Name:INES
Other - Middle Name:TAMZALI
Other - Last Name:BENTAHAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2060 SPACE PARK DR STE 410
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77058-3676
Mailing Address - Country:US
Mailing Address - Phone:281-333-5503
Mailing Address - Fax:
Practice Address - Street 1:2060 SPACE PARK DR STE 410
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77058-3676
Practice Address - Country:US
Practice Address - Phone:281-333-5503
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-25
Last Update Date:2023-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXU2649207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology