Provider Demographics
NPI:1386466076
Name:QAZI, SAMIA TANVEER
Entity type:Individual
Prefix:MRS
First Name:SAMIA
Middle Name:TANVEER
Last Name:QAZI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:321 KILLAM COUNTY DR
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77493-3941
Mailing Address - Country:US
Mailing Address - Phone:734-558-0583
Mailing Address - Fax:
Practice Address - Street 1:321 KILLAM COUNTY DR
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77493-3941
Practice Address - Country:US
Practice Address - Phone:734-558-0583
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-25
Last Update Date:2024-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1169519363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily