Provider Demographics
NPI:1609829316
Name:ZAIN, MOEENA (MD)
Entity Type:Individual
Prefix:DR
First Name:MOEENA
Middle Name:
Last Name:ZAIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1200 E RIDGE RD
Mailing Address - Street 2:SUITE # 8
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78503-1527
Mailing Address - Country:US
Mailing Address - Phone:956-630-5530
Mailing Address - Fax:956-630-5459
Practice Address - Street 1:1200 E RIDGE RD
Practice Address - Street 2:SUITE # 8
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78503-1527
Practice Address - Country:US
Practice Address - Phone:956-630-5530
Practice Address - Fax:956-630-5459
Is Sole Proprietor?:No
Enumeration Date:2006-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL2768207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXL2768OtherLICENSE
TXI07747Medicare UPIN
TX8B9455Medicare ID - Type Unspecified