Provider Demographics
NPI:1336823731
Name:KAZMI, PAREESA
Entity Type:Individual
Prefix:
First Name:PAREESA
Middle Name:
Last Name:KAZMI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14403 LAKEPOINTE BEND LN
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-6176
Mailing Address - Country:US
Mailing Address - Phone:832-874-1195
Mailing Address - Fax:
Practice Address - Street 1:14403 LAKEPOINTE BEND LN
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-6176
Practice Address - Country:US
Practice Address - Phone:832-874-1195
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-14
Last Update Date:2023-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant