Provider Demographics
NPI:1669407128
Name:ZARZOUR, JOSEPH ALFRED (MD)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:ALFRED
Last Name:ZARZOUR
Suffix:
Gender:M
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 690981
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77269-0981
Mailing Address - Country:US
Mailing Address - Phone:281-469-3340
Mailing Address - Fax:281-469-3341
Practice Address - Street 1:11301 FALLBROOK DRIVE
Practice Address - Street 2:#124
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77065
Practice Address - Country:US
Practice Address - Phone:281-469-3340
Practice Address - Fax:281-469-3341
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ2432207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
G29246Medicare UPIN
TX00239QMedicare ID - Type Unspecified