MEDICARE: MS. NAZIA IFTEKHAR FNP

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	363LF0000X	Family Nurse Practitioner	AP120844	TX

General Provider Information

NPI Number	:	1225376387
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. NAZIA IFTEKHAR FNP

Provider Business Mailing Address
First Line	:	9711 CHAMPION HEAVENS DR
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77379-1700
Country	:	US
Telephone Number	:	832-548-5000
Fax Number	:

Provider Business Practice Location Address
First Line	:	9711 CHAMPION HEAVENS DR
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77379-1700
Country	:	US
Telephone Number	:	832-548-5000
Fax Number	:

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

Provider Enumeration Date	:	01/24/2013
Last Update Date	:	04/21/2026

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