Provider Demographics
NPI:1952753667
Name:HAFEEZ, NADIA (PA-C)
Entity Type:Individual
Prefix:
First Name:NADIA
Middle Name:
Last Name:HAFEEZ
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:728 W 21ST ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77008-3512
Mailing Address - Country:US
Mailing Address - Phone:713-213-8562
Mailing Address - Fax:
Practice Address - Street 1:10023 MAIN ST STE C10
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77025-5251
Practice Address - Country:US
Practice Address - Phone:713-791-1932
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-06
Last Update Date:2016-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant