Provider Demographics
NPI:1639250798
Name:SOUTHWEST HEALTH ASSOCIATES P.A.
Entity type:Organization
Organization Name:SOUTHWEST HEALTH ASSOCIATES P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:MOID
Authorized Official - Last Name:ZAIDI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-980-2100
Mailing Address - Street 1:1229 CREEK WAY DR STE 101
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-4565
Mailing Address - Country:US
Mailing Address - Phone:281-980-2100
Mailing Address - Fax:281-980-2170
Practice Address - Street 1:15200 SOUTH WEST FWY
Practice Address - Street 2:SUITE # 170
Practice Address - City:SUGARLAND
Practice Address - State:TX
Practice Address - Zip Code:77478
Practice Address - Country:US
Practice Address - Phone:281-980-2100
Practice Address - Fax:281-980-2170
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-17
Last Update Date:2018-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00568VOtherBCBS
TX163046901Medicaid
TX00568VMedicare PIN