MEDICARE: DR. FIZA NAZIR MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	254002	NY
2	390200000X	Student in an Organized Health Care Education/Training Program	254002	NY
3	207QH0002X	Hospice and Palliative Medicine (Family Medicine) Physician	Q7758	TX

General Provider Information

NPI Number	:	1568629061
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FIZA NAZIR MD

Provider Business Mailing Address
First Line	:	1801 S CARRIER PKWY
Second Line	:
City	:	GRAND PRAIRIE
State	:	TX
Zip	:	75051-3702
Country	:	US
Telephone Number	:	844-388-6541
Fax Number	:	844-452-8151

Provider Business Practice Location Address
First Line	:	1801 S CARRIER PKWY
Second Line	:
City	:	GRAND PRAIRIE
State	:	TX
Zip	:	75051-3702
Country	:	US
Telephone Number	:	844-388-6541
Fax Number	:	844-452-8151

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/21/2008
Last Update Date	:	09/17/2021

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Directions to “ DR. FIZA NAZIR MD” Practice Location

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