Provider Demographics
NPI:1801864905
Name:KOBEISSI, ZOULFICAR (MD)
Entity Type:Individual
Prefix:
First Name:ZOULFICAR
Middle Name:
Last Name:KOBEISSI
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:PO BOX 8307
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77387-8307
Mailing Address - Country:US
Mailing Address - Phone:281-296-8788
Mailing Address - Fax:281-465-4569
Practice Address - Street 1:1111 MEDICAL PLAZA DR STE 250
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77380-3477
Practice Address - Country:US
Practice Address - Phone:281-296-8788
Practice Address - Fax:281-465-4569
Is Sole Proprietor?:No
Enumeration Date:2006-03-14
Last Update Date:2018-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN0897207R00000X, 208M00000X, 207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX201432606Medicaid
TX201432605Medicaid
TXP00758491OtherMEDICARE RAILROAD
TX8HP021OtherBCBS
TX201432601Medicaid
NH497176OtherTUFTS
NH6012634OtherMVP
ME100015OtherBLUE CROSS
NH497176OtherTUFTS
TXP00758491OtherMEDICARE RAILROAD
MEME1298Medicare PIN
NH000296201Medicare PIN