Provider Demographics
NPI:1174084016
Name:MERCHANT, NAUSHEEN F (PA-C)
Entity type:Individual
Prefix:
First Name:NAUSHEEN
Middle Name:F
Last Name:MERCHANT
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 1:5410 MAPLE SQUARE DR
Mailing Address - Street 2:
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77339-1239
Mailing Address - Country:US
Mailing Address - Phone:832-233-0136
Mailing Address - Fax:
Practice Address - Street 1:12234 SHADOW CREEK PKWY STE 4104
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-7333
Practice Address - Country:US
Practice Address - Phone:281-315-9508
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-25
Last Update Date:2019-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant