Provider Demographics
NPI:1568843969
Name:MOMIN, ZAFREEN LALANI (DO)
Entity Type:Individual
Prefix:
First Name:ZAFREEN
Middle Name:LALANI
Last Name:MOMIN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:ZAFREEN
Other - Middle Name:SHAUKATALI
Other - Last Name:LALANI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:2200 VILLAGE PKWY
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND VILLAGE
Mailing Address - State:TX
Mailing Address - Zip Code:75077-3327
Mailing Address - Country:US
Mailing Address - Phone:972-317-6000
Mailing Address - Fax:
Practice Address - Street 1:2200 VILLAGE PKWY
Practice Address - Street 2:
Practice Address - City:HIGHLAND VILLAGE
Practice Address - State:TX
Practice Address - Zip Code:75077-3327
Practice Address - Country:US
Practice Address - Phone:972-317-6000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-11
Last Update Date:2019-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXS2426208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics