MEDICARE: DR. ABBAS R MIAN MD

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	207P00000X	Emergency Medicine Physician	M4354	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	8U3499	OTHER	TX	BCBS

General Provider Information

NPI Number	:	1275540007
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ABBAS R MIAN MD

Provider Business Mailing Address
First Line	:	409 JOPLIN DR
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75071-8016
Country	:	US
Telephone Number	:	903-870-4609
Fax Number	:	903-870-4609

Provider Business Practice Location Address
First Line	:	5401 BASSWOOD BLVD
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76137-6909
Country	:	US
Telephone Number	:	817-945-5500
Fax Number	:	817-945-5600

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

Provider Enumeration Date	:	08/02/2006
Last Update Date	:	07/31/2021

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