Provider Demographics
NPI:1689669525
Name:EL ZUFARI, MOUHAMED HAZEM (MD)
Entity Type:Individual
Prefix:
First Name:MOUHAMED
Middle Name:HAZEM
Last Name:EL ZUFARI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:MOHAMMAD
Other - Middle Name:HAZEM
Other - Last Name:EL ZUFARI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 8795
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77387-8795
Mailing Address - Country:US
Mailing Address - Phone:281-681-0616
Mailing Address - Fax:281-419-0445
Practice Address - Street 1:9000 FOREST XING
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77381-1122
Practice Address - Country:US
Practice Address - Phone:281-475-8846
Practice Address - Fax:281-419-0445
Is Sole Proprietor?:No
Enumeration Date:2005-09-16
Last Update Date:2024-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL7719207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX170055102Medicaid
TX170055102Medicaid
TX8F3652Medicare PIN