Provider Demographics
NPI:1578000329
Name:ZAID, ZEHRA
Entity Type:Individual
Prefix:
First Name:ZEHRA
Middle Name:
Last Name:ZAID
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:415 WILLIAMS LANDING DR
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-5384
Mailing Address - Country:US
Mailing Address - Phone:832-244-1602
Mailing Address - Fax:
Practice Address - Street 1:1818 MOUNTAIN VIEW AVE
Practice Address - Street 2:
Practice Address - City:LONGMONT
Practice Address - State:CO
Practice Address - Zip Code:80501-3253
Practice Address - Country:US
Practice Address - Phone:303-651-3733
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-01-31
Last Update Date:2021-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC9596122300000X
MI29010220931223G0001X
TX347071223P0221X
CO002045231223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
No122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice