Provider Demographics
NPI:1982709465
Name:MUJEEB, SYED NASER (MD)
Entity type:Individual
Prefix:
First Name:SYED
Middle Name:NASER
Last Name:MUJEEB
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:10311 N ELDRIDGE PKWY
Mailing Address - Street 2:STE B5
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77065-5368
Mailing Address - Country:US
Mailing Address - Phone:281-890-9822
Mailing Address - Fax:281-890-9844
Practice Address - Street 1:10311 N ELDRIDGE PKWY
Practice Address - Street 2:STE B5
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77065-5368
Practice Address - Country:US
Practice Address - Phone:281-890-9822
Practice Address - Fax:281-890-9844
Is Sole Proprietor?:No
Enumeration Date:2006-09-13
Last Update Date:2013-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM9517207Q00000X
IL036116641207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8DU720OtherBCBSTX
TX308778YUCWMedicare PIN