Provider Demographics
NPI:1245410562
Name:AMR, ZIAD (MD)
Entity type:Individual
Prefix:
First Name:ZIAD
Middle Name:
Last Name:AMR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:ZIAD
Other - Middle Name:
Other - Last Name:AMR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:21216 NORTHWEST FWY
Mailing Address - Street 2:SUITE #250
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-1439
Mailing Address - Country:US
Mailing Address - Phone:713-426-2400
Mailing Address - Fax:713-426-3204
Practice Address - Street 1:21216 NORTHWEST FWY
Practice Address - Street 2:SUITE #250
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-1439
Practice Address - Country:US
Practice Address - Phone:713-426-2400
Practice Address - Fax:713-426-3204
Is Sole Proprietor?:No
Enumeration Date:2007-11-05
Last Update Date:2022-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM4697208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX080177101Medicaid
TX8BC977OtherBLUE CROSS BLUE SHIELD
TX080177101Medicaid