1427051572 NPI number — DR. NAWAL S ZEITOUNI MD

Table of content: DR. NAWAL S ZEITOUNI MD (NPI 1427051572)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1427051572 NPI number — DR. NAWAL S ZEITOUNI MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ZEITOUNI
Provider First Name:
NAWAL
Provider Middle Name:
S
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1427051572
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/21/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5219 CITY BANK PKWY
Provider Second Line Business Mailing Address:
STE 35
Provider Business Mailing Address City Name:
LUBBOCK
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
79407-3545
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
806-785-2045
Provider Business Mailing Address Fax Number:
806-722-2908

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7501 QUAKER AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LUBBOCK
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
79424-3367
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
806-793-7251
Provider Business Practice Location Address Fax Number:
806-799-1568
Provider Enumeration Date:
05/23/2005

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 208000000X , with the licence number:  K3046 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)