Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | 254002 | NY |
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | Q7758 | TX |
NPI | 1568629061 |
---|---|
Provider Name | Dr. Fiza Nazir |
First Address | Grand Prairie, TX 75051-3702 |
Second Address | Grand Prairie, TX 75051-3702 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/05/2008 |
Last Update Date | 17/09/2021 |