Provider Demographics
NPI:1487897609
Name:TAHIR, FAIZA (MD)
Entity type:Individual
Prefix:
First Name:FAIZA
Middle Name:
Last Name:TAHIR
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:PO BOX 590104
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77259-0104
Mailing Address - Country:US
Mailing Address - Phone:281-428-4024
Mailing Address - Fax:281-428-4026
Practice Address - Street 1:6051 GARTH RD STE 1100
Practice Address - Street 2:
Practice Address - City:BAYTOWN
Practice Address - State:TX
Practice Address - Zip Code:77521-9892
Practice Address - Country:US
Practice Address - Phone:281-428-4024
Practice Address - Fax:281-428-4026
Is Sole Proprietor?:No
Enumeration Date:2009-04-17
Last Update Date:2024-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
TXN7884207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX300749401Medicaid
TXTXB156360Medicare PIN