Healthcare Provider Details

I. General information

NPI: 1295238186
Provider Name (Legal Business Name): NAUREEN HIRANI PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/16/2018
Last Update Date: 01/27/2023
Certification Date: 01/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1651 W UNIVERSITY DR # 100
MCKINNEY TX
75069-3445
US

IV. Provider business mailing address

PO BOX 360541
PITTSBURGH PA
15251-6541
US

V. Phone/Fax

Practice location:
  • Phone: 713-461-2915
  • Fax: 469-333-7988
Mailing address:
  • Phone: 972-525-9900
  • Fax: 469-333-7988

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number0110-006107
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA11968
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: