Basic Information
| Provider Information | |||||||||
| NPI: | 1912352337 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | AMINI-VAUGHAN | ||||||||
| FirstName: | ZHALEH | ||||||||
| MiddleName: | JACQUELINE | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 909 FROSTWOOD DR STE 1.100 | ||||||||
| Address2: | |||||||||
| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 770242301 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7133386353 | ||||||||
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| Practice Location | |||||||||
| Address1: | 10333 KUYKENDAHL RD STE D | ||||||||
| Address2: | |||||||||
| City: | SPRING | ||||||||
| State: | TX | ||||||||
| PostalCode: | 773822878 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7138977244 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/04/2016 | ||||||||
| LastUpdateDate: | 05/28/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 05/28/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 390200000X | BP10057686 | TX | N | Student, Health Care | Student in an Organized Health Care Education/Training Program | 207Q00000X | R4356 | TX | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.