Individual
JOEL ZACHARY PASSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4000
(713) 792-6161
Mailing address
LAHEY PROVIDER ENROLLMENT DEPARTMENT 41 MALL ROAD, BURLINGTON, MA 01805-0001
(781) 744-8085
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
290194
MA
207T00000X
Neurological Surgery Physician
MD459587
PA
207T00000X
Neurological Surgery Physician
S5244
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
412619501
—
TX
01
—
412619502
CSHCN TPI
TX
Enumeration date
05/09/2013
Last updated
09/29/2021
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