Provider Demographics
NPI:1689768277
Name:MAZHAR, MOBEEN (MD)
Entity type:Individual
Prefix:MR
First Name:MOBEEN
Middle Name:
Last Name:MAZHAR
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21216 NORTHWEST FWY STE 650
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-4697
Mailing Address - Country:US
Mailing Address - Phone:281-955-9158
Mailing Address - Fax:281-955-8720
Practice Address - Street 1:24518 NORTHWEST FWY STE 325
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-2904
Practice Address - Country:US
Practice Address - Phone:281-955-9158
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2025-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL0407207RC0000X, 207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX162394401Medicaid
TX162394401Medicaid
00969VMedicare PIN