Provider Demographics
NPI:1861144677
Name:YAGHMAI, ZAHRASHABNAM
Entity type:Individual
Prefix:
First Name:ZAHRASHABNAM
Middle Name:
Last Name:YAGHMAI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14219 LOST MEADOW LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77079-3112
Mailing Address - Country:US
Mailing Address - Phone:713-269-1119
Mailing Address - Fax:
Practice Address - Street 1:14219 LOST MEADOW LN
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77079-3112
Practice Address - Country:US
Practice Address - Phone:713-269-1119
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-23
Last Update Date:2022-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX54306183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist