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NPI Code Detail

MEDICARE: STEPHANIE RHEA KAZMI PA

MEDICARE: STEPHANIE RHEA KAZMI PA
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
1363AS0400XSurgical Physician AssistantPA08328TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1164769170
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE RHEA KAZMI PA
Provider Business Mailing Address
First Line : 6301 HARRIS PKWY STE 300
Second Line :
City : FORT WORTH
State : TX
Zip : 76132-4245
Country : US
Telephone Number : 817-877-3432
Fax Number : 817-346-4394
Provider Business Practice Location Address
First Line : 6301 HARRIS PKWY STE 300
Second Line :
City : FORT WORTH
State : TX
Zip : 76132-4245
Country : US
Telephone Number : 817-877-3432
Fax Number : 817-346-4394
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/10/2013
Last Update Date : 01/25/2017

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Directions to “ STEPHANIE RHEA KAZMI PA” Practice Location

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