Provider Demographics
NPI:1659506822
Name:AL-MOHTASEB, ZAINA NABIL (MD)
Entity type:Individual
Prefix:
First Name:ZAINA
Middle Name:NABIL
Last Name:AL-MOHTASEB
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6565 FANNIN ST # NC205
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2703
Mailing Address - Country:US
Mailing Address - Phone:713-798-3027
Mailing Address - Fax:713-798-3027
Practice Address - Street 1:6565 FANNIN ST # NC205
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2703
Practice Address - Country:US
Practice Address - Phone:713-798-3027
Practice Address - Fax:713-798-3027
Is Sole Proprietor?:No
Enumeration Date:2009-05-18
Last Update Date:2020-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ0858207W00000X
FLME115109207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology