Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | M8206 | TX |
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | M8206 | TX |
NPI | 1306025143 |
---|---|
Provider Name | Dr. Alireza Nazeri |
First Address | Houston, TX 77025-2131 |
Second Address | Houston, TX 77030-2709 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/10/2007 |
Last Update Date | 29/11/2018 |