Provider Demographics
NPI:1336803113
Name:AL SAMRAIE, ZAHRAA (DDS)
Entity type:Individual
Prefix:
First Name:ZAHRAA
Middle Name:
Last Name:AL SAMRAIE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24506 FOLKSTONE CIR
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-7601
Mailing Address - Country:US
Mailing Address - Phone:405-510-9860
Mailing Address - Fax:
Practice Address - Street 1:24506 FOLKSTONE CIR
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-7601
Practice Address - Country:US
Practice Address - Phone:405-510-9860
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-27
Last Update Date:2021-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX37739122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist