Provider Demographics
NPI:1982850954
Name:MALIK NAZ, M.D., P.A
Entity Type:Organization
Organization Name:MALIK NAZ, M.D., P.A
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MALIK
Authorized Official - Middle Name:NAZ
Authorized Official - Last Name:KALIMUDDIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-409-2958
Mailing Address - Street 1:213 MAYERLING DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-6423
Mailing Address - Country:US
Mailing Address - Phone:281-409-2958
Mailing Address - Fax:713-467-6532
Practice Address - Street 1:1458 CAMPBELL RD
Practice Address - Street 2:SUITE 250A
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77055-4669
Practice Address - Country:US
Practice Address - Phone:281-409-2958
Practice Address - Fax:713-467-6532
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-11
Last Update Date:2011-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)