Provider Demographics
NPI:1629785001
Name:ZANAYED, TARIK (OD)
Entity Type:Individual
Prefix:DR
First Name:TARIK
Middle Name:
Last Name:ZANAYED
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15410 BAY COVE CT
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77059-5820
Mailing Address - Country:US
Mailing Address - Phone:832-687-5123
Mailing Address - Fax:
Practice Address - Street 1:10013 ALMEDA GENOA RD STE G
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77075-2445
Practice Address - Country:US
Practice Address - Phone:346-237-3464
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-03
Last Update Date:2022-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10583152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist