Provider Demographics
NPI:1962590562
Name:NASIR, MARWAN A (MD)
Entity type:Individual
Prefix:DR
First Name:MARWAN
Middle Name:A
Last Name:NASIR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3007 WOODLAND HILLS DRIVE #94
Mailing Address - Street 2:
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77339-1403
Mailing Address - Country:US
Mailing Address - Phone:832-412-8670
Mailing Address - Fax:832-559-0652
Practice Address - Street 1:921 GESSNER RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-2501
Practice Address - Country:US
Practice Address - Phone:832-412-8670
Practice Address - Fax:832-559-0652
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2023-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH7026207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX039912302Medicaid
TX8B8009OtherBLUECROSS BLUESHIELD
TX8B8009OtherBLUECROSS BLUESHIELD