Provider Demographics
NPI:1285173690
Name:ALZWERI, LAITH (MBBS)
Entity type:Individual
Prefix:DR
First Name:LAITH
Middle Name:
Last Name:ALZWERI
Suffix:
Gender:M
Credentials:MBBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 650859 DEPT 710
Mailing Address - Street 2:UTMB FACULTY GROUP PRACTICE
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75265-0859
Mailing Address - Country:US
Mailing Address - Phone:409-772-2222
Mailing Address - Fax:
Practice Address - Street 1:301 UNIVERSITY BLVD.
Practice Address - Street 2:UTMB HEALTH UROLOGY- GALVESTON
Practice Address - City:GALVESTON
Practice Address - State:TX
Practice Address - Zip Code:77555-1326
Practice Address - Country:US
Practice Address - Phone:409-772-9605
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-17
Last Update Date:2020-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX46857208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology