Provider Demographics
NPI:1316643521
Name:BZK INT MD PLLC
Entity type:Organization
Organization Name:BZK INT MD PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BASIL
Authorized Official - Middle Name:Z
Authorized Official - Last Name:KHALAF
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-585-5004
Mailing Address - Street 1:3050 POST OAK BLVD STE 1350
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77056-6537
Mailing Address - Country:US
Mailing Address - Phone:713-585-5004
Mailing Address - Fax:
Practice Address - Street 1:7505A SOUTH FWY
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77021-5928
Practice Address - Country:US
Practice Address - Phone:713-585-5004
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-31
Last Update Date:2023-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Multi-Specialty