Organization
NADIM M ZACCA MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NADIM M ZACCA M.D. (PRESIDENT)
(713) 795-4059
Entity
Organization
Contact information
Practice address
6550 FANNIN ST STE 2229, HOUSTON, TX 77030-2709
(713) 795-4059
Mailing address
6550 FANNIN ST STE 2229, HOUSTON, TX 77030-2709
(713) 795-4059
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
F5420
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00LA14
MEDICARE PTAN
TX
05
—
115444502
—
TX
Enumeration date
07/12/2010
Last updated
07/12/2010
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