MAIMOONA QAYYUM NIZAMI
Marriage and Family Therapists at Grand Lancelot Dr, Humble, TX

License number
Texas BP1-0037470
Category
Osteopathic Medicine
Type
Family Medicine
Address
Address
21844 Grand Lancelot Dr, Humble, TX 77339
Phone
(832) 527-2077
National Provider ID: 1487971495
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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MAIMOONA QAYYUM NIZAMI MD PA

21844 Grand Lancelot Dr, Kingwood, TX 77339

Doing business as:
Maimoona Qayyum Nizami MD PA
Registration:
Mar 12, 2014
State ID:
0801953101
Business type:
Professional Association
Director, Member, President:
Maimoona Q. Nizami (Director, Member, President)
Agent:
Maimoona Q Nizami,21844 Grand Lancelot Dr, Kingwood, TX 77339 (Physical)
TIN:
32053475102

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