Peyman Pakzaban, MD PA

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

H8305 Issued in TX

Legal business name

PEYMAN PAKZABAN, MD PA

Practice address

3801 Vista Rd Ste 440
Pasadena, TX 77504-2162

Phone

(713) 941-0008

Fax

(713) 941-6262

NPI assigned

Apr 25, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Staci Lee Vaudrin

Title

Senior Finance Coordinator

Phone

(713) 941-0008

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Peyman Pakzaban MD Former legal business name

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Peyman Pakzaban, MD

  • Neurological Surgery Physician
  • Pasadena, TX
  • NPI 1174523872
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1209081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223942400000",
    "number": "1649445107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 VISTA RD STE 440",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775042162",
            "telephone_number": "713-941-0008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 VISTA RD STE 440",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775042162",
            "telephone_number": "713-941-0008",
            "fax_number": "713-941-6262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEYMAN PAKZABAN, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-25",
        "last_updated": "2008-10-14",
        "status": "A",
        "authorized_official_last_name": "VAUDRIN",
        "authorized_official_first_name": "STACI",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "SENIOR FINANCE COORDINATOR",
        "authorized_official_telephone_number": "713-941-0008"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "TX",
            "license": "H8305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ACCOUNT NUMBER",
            "identifier": "8BL550",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PART B",
            "identifier": "DN4802",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peyman Pakzaban MD",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Debra Lee Perry, D.C.
• Peter B. Morgan, M.D. P.a.
• Elizabeth Kaye Petitt, FNP
• Matthew Sean Petitt, DO
• Darnell D Pettway, MD
• PH Squared LLC
• Dang Thanh Pham, M.D.
• Hieu T. Pham, D.O.
• Nguyen Pham
• Tuan Quoc Pham, D.D.S.

• Neurological Surgery Physician in Pasadena, TX
• Providers in Pasadena, TX by specialty
• Neurological Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.