Provider Demographics
NPI:1356342190
Name:ZAYED, FUAD (MD)
Entity type:Individual
Prefix:DR
First Name:FUAD
Middle Name:
Last Name:ZAYED
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:PO BOX 6085
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78502-6085
Mailing Address - Country:US
Mailing Address - Phone:956-432-0150
Mailing Address - Fax:956-432-0154
Practice Address - Street 1:3012 E MAIN AVE STE F
Practice Address - Street 2:
Practice Address - City:ALTON
Practice Address - State:TX
Practice Address - Zip Code:78573-0908
Practice Address - Country:US
Practice Address - Phone:956-432-0150
Practice Address - Fax:956-432-0154
Is Sole Proprietor?:No
Enumeration Date:2005-08-02
Last Update Date:2013-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL9571207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX173373502Medicaid
TX173373502Medicaid
TXG82514Medicare UPIN