Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | 5101015806 | MI |
N | 207P00000X | Emergency Physician | M7787 | AL |
Y | 207P00000X | Emergency Physician | M7787 | TX |
N | 207PE0004X | Emergency Medical Services | M7787 | TX |
NPI | 1144269192 |
---|---|
Provider Name | Amir Zegar |
First Address | Houston, TX 77007-5673 |
Second Address | Houston, TX 77007-5673 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/06/2006 |
Last Update Date | 10/05/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
188092405 | (05) | TX |
188092407 | (05) | TX |
188092416 | (05) | TX |
I45318 | (02) | MI |