Zainab Hussain, PA
Individual provider Active NPI Physician Assistant · Waller, TX
NPI 1093414864 · NPPES record last updated Mar 1, 2023
Key facts
- NPI
- 1093414864
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA16621 (TX)
- Practice address
- 31303 FM 2920 Rd Ste G
Waller, TX 77484-8196 - Phone
- (936) 931-3448
- Fax
- (936) 931-3704
- NPI assigned
- Mar 1, 2023
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA16621 | TX | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Childrens Specialty Care Clinic | Multi-Specialty | Past |
Accepting new patients |
| Childrens Specialty Care Clinic | Multi-Specialty | Past |
Accepting new patients |
Interoperability endpoints
- zhussain65978@memorialhermann.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant |
363A00000X | PA16621 | TX | Yes |
Addresses
Primary practice location
31303 FM 2920 Rd Ste G
Waller, TX 77484-8196
Mailing address
31303 FM 2920 Rd Ste G
Waller, TX 77484-8196
Phone (936) 931-3448
Other practice location 1
18602 Fm 1488 Rd Ste 700
Magnolia, TX 77354-8510
Phone (936) 931-3448
Other practice location 2
17330 Spring Cypress Rd
Cypress, TX 77429-4293
Phone (936) 931-3448
Other practice location 3
19722 Saums Rd
Houston, TX 77084-4734
Phone (936) 931-3448
Other providers in Waller, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 1, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.