Provider Demographics
NPI:1538488010
Name:ZUHAIR M. SHIHAB, M.D.,P.A.
Entity type:Organization
Organization Name:ZUHAIR M. SHIHAB, M.D.,P.A.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MALISA
Authorized Official - Middle Name:GAYE
Authorized Official - Last Name:HENRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:806-792-3400
Mailing Address - Street 1:4003 22ND ST
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79410-1115
Mailing Address - Country:US
Mailing Address - Phone:806-792-3400
Mailing Address - Fax:806-792-2023
Practice Address - Street 1:4003 22ND ST
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79410-1115
Practice Address - Country:US
Practice Address - Phone:806-792-3400
Practice Address - Fax:806-792-2023
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-24
Last Update Date:2011-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG2845207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX282242101Medicaid
TX26TQOtherBLUE CROSS BLUE SHIELD OF TEXAS
NM40221784Medicaid
TXDQ3589OtherRAIILROAD MEDICARE
UT123895100OtherFIRSTCARE
TX26TQOtherBLUE CROSS BLUE SHIELD OF TEXAS
B26405Medicare UPIN
TXDQ3589OtherRAIILROAD MEDICARE