Provider Demographics
NPI:1881645414
Name:ZAKHARY, ADEL A (MD)
Entity Type:Individual
Prefix:
First Name:ADEL
Middle Name:A
Last Name:ZAKHARY
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 1:4603 COLLEYVILLE BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:COLLEYVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:76034-3974
Mailing Address - Country:US
Mailing Address - Phone:817-514-8600
Mailing Address - Fax:817-514-8601
Practice Address - Street 1:4603 COLLEYVILLE BLVD STE 100
Practice Address - Street 2:
Practice Address - City:COLLEYVILLE
Practice Address - State:TX
Practice Address - Zip Code:76034-3974
Practice Address - Country:US
Practice Address - Phone:817-514-8600
Practice Address - Fax:817-514-8601
Is Sole Proprietor?:No
Enumeration Date:2006-05-16
Last Update Date:2023-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK6430207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8V0201OtherBCBS IND. NUMBER
TXK6430OtherSTATE LICENSE NUMBER
TX104644303Medicaid
G80002Medicare UPIN
TX104644303Medicaid