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General NPI Number Information
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NPI Number | 1477734457
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Entity Type | Organization
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Legal Business Name | IMTIAZ A. MEHKRI, M.D., P.A.
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Dates
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Enumeration Date | 11/19/2007
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Last Update Date | 05/10/2023
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Provider Practice Location Address
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Address Line | 510 S CLOSNER BLVD
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City | EDINBURG
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State | TX
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Zip | 78539-4660
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Country | US
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Telephone | 956-386-1122
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Fax | 956-386-1133
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Provider Business Mailing Address
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Address Line | 510 S CLOSNER BLVD
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City | EDINBURG
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State | TX
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Zip | 78539-4660
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Country | US
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Telephone | 956-386-1122
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Fax | 956-386-1133
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | DR. IMTIAZ A MEHKRI
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Credential | M.D., P.A.
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Telephone | 956-386-1122
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | K6650
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License Number State | TX
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