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General NPI Number Information
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NPI Number | 1467027052
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Entity Type | Organization
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Legal Business Name | AMELIA REZAI, MD, PLLC
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Dates
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Enumeration Date | 05/25/2021
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Last Update Date | 11/17/2023
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Provider Practice Location Address
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Address Line | 8117 PRESTON RD STE 300
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City | DALLAS
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State | TX
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Zip | 75225-6347
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Country | US
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Telephone | 214-785-6761
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Fax |
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Provider Business Mailing Address
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Address Line | 8117 PRESTON RD STE 300
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City | DALLAS
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State | TX
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Zip | 75225-6347
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Country | US
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Telephone | 214-785-6761
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | AMELIA REZAI
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Credential | MD
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Telephone | 214-785-6761
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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