Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223S0112X | Oral and Maxillofacial Surgeon | 30696 | TX |
NPI | 1063705457 |
---|---|
Provider Name | Dr. Najy Khalid Zarroug |
First Address | Leander, TX 78641-4952 |
Second Address | Round Rock, TX 78681-5509 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/05/2011 |
Last Update Date | 28/01/2022 |