Provider Demographics
NPI:1740096759
Name:MUAYAD, JAWAD
Entity type:Individual
Prefix:
First Name:JAWAD
Middle Name:
Last Name:MUAYAD
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1901 POST OAK BLVD APT 609
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77056-3929
Mailing Address - Country:US
Mailing Address - Phone:207-766-1407
Mailing Address - Fax:
Practice Address - Street 1:8447 JOHN SHARP PKWY
Practice Address - Street 2:
Practice Address - City:BRYAN
Practice Address - State:TX
Practice Address - Zip Code:77807-1552
Practice Address - Country:US
Practice Address - Phone:979-436-0200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-04
Last Update Date:2024-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program