Provider Demographics
NPI:1851118467
Name:NIAZ, MAISUR
Entity type:Individual
Prefix:
First Name:MAISUR
Middle Name:
Last Name:NIAZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24106 TIRSO RIVER CT
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77493-4079
Mailing Address - Country:US
Mailing Address - Phone:281-569-9748
Mailing Address - Fax:
Practice Address - Street 1:24106 TIRSO RIVER CT
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77493-4079
Practice Address - Country:US
Practice Address - Phone:281-569-9748
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-24
Last Update Date:2024-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care