Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | N7192 | TX |
NPI | 1003140054 |
---|---|
Provider Name | Ghazal Iftikhar Zafar |
First Address | Bellaire, TX 77401-5812 |
Second Address | Bellaire, TX 77401-5812 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/09/2009 |
Last Update Date | 21/03/2020 |