Provider Demographics
NPI:1942854583
Name:MAVA HEALTHCARE SYSTEM LLC
Entity Type:Organization
Organization Name:MAVA HEALTHCARE SYSTEM LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ARIF
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAHEER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:321-287-6866
Mailing Address - Street 1:25319 INTERSTATE 45 STE 100
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77380-3551
Mailing Address - Country:US
Mailing Address - Phone:832-810-0200
Mailing Address - Fax:888-682-7273
Practice Address - Street 1:25319 INTERSTATE 45 STE 100
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77380-3551
Practice Address - Country:US
Practice Address - Phone:832-810-0200
Practice Address - Fax:888-682-7273
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-01
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXBA5229744OtherDEA