Provider Demographics
NPI:1689768277
Name:MAZHAR, MOBEEN (MD)
Entity Type:Individual
Prefix:MR
First Name:MOBEEN
Middle Name:
Last Name:MAZHAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10425 HUFFMEISTER RD STE 330
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77065-3429
Mailing Address - Country:US
Mailing Address - Phone:281-955-8818
Mailing Address - Fax:281-955-8855
Practice Address - Street 1:10425 HUFFMEISTER RD STE 330
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77065-3429
Practice Address - Country:US
Practice Address - Phone:281-955-8818
Practice Address - Fax:281-955-8855
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2022-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL0407207RI0011X, 207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX162394401Medicaid
TX162394401Medicaid
00969VMedicare PIN