Provider Demographics
NPI:1760885891
Name:ZEIDMAN, JAY
Entity Type:Individual
Prefix:MR
First Name:JAY
Middle Name:
Last Name:ZEIDMAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5535 MEMORIAL DR
Mailing Address - Street 2:#664
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77007-8021
Mailing Address - Country:US
Mailing Address - Phone:713-623-6762
Mailing Address - Fax:713-623-6761
Practice Address - Street 1:5535 MEMORIAL DR
Practice Address - Street 2:#664
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77007-8021
Practice Address - Country:US
Practice Address - Phone:713-623-6762
Practice Address - Fax:713-623-6761
Is Sole Proprietor?:No
Enumeration Date:2014-10-03
Last Update Date:2014-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX261QS1200X173F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes173F00000XOther Service ProvidersSleep Specialist, PhD