Provider Demographics
NPI:1750525408
Name:ZAHRA, NIDA (MD)
Entity type:Individual
Prefix:
First Name:NIDA
Middle Name:
Last Name:ZAHRA
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 1:5909 HARRY HINES BLVD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75390-9067
Mailing Address - Country:US
Mailing Address - Phone:214-645-3900
Mailing Address - Fax:
Practice Address - Street 1:5909 HARRY HINES BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75390-9067
Practice Address - Country:US
Practice Address - Phone:214-645-3900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-25
Last Update Date:2013-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP3842207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine