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Organization
M NAZARIAN MD ASSOC
Active
Organization
M NAZARIAN MD ASSOC
Active
Other names
m nazarian md pa
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANUCHER NAZARIAN MD (PRESIDENT)
(817) 336-4454
Entity
Organization
Contact information
Practice address
757 8TH AVE, M NAZARIAN MD ASSOC, FORT WORTH, TX 76104-2522
(817) 336-4454
(817) 336-4440
Mailing address
757 8TH AVE, SUITE A, FORT WORTH, TX 76104-2522
(817) 336-4454
(817) 336-4440
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
D9248
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0613110
AETNA
—
01
—
4584370009
CIGNA
—
Enumeration date
01/22/2007
Last updated
07/27/2007
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