Provider Demographics
NPI:1609802818
Name:NASHED-GUIRGUIS, HEIDI (MD)
Entity Type:Individual
Prefix:
First Name:HEIDI
Middle Name:
Last Name:NASHED-GUIRGUIS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5834 LOUETTA RD
Mailing Address - Street 2:SUITE F
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77379-7884
Mailing Address - Country:US
Mailing Address - Phone:832-698-4291
Mailing Address - Fax:832-698-4297
Practice Address - Street 1:5834 LOUETTA RD
Practice Address - Street 2:SUITE F
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77379-7884
Practice Address - Country:US
Practice Address - Phone:832-698-4291
Practice Address - Fax:832-698-4297
Is Sole Proprietor?:No
Enumeration Date:2006-06-23
Last Update Date:2015-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL8856207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXP00376594OtherMEDICARE RAILROAD
TX166107602Medicaid
TXI10381Medicare UPIN
TX8G2531Medicare PIN