Individual
SAIROZ MOBH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
710 E PIONEER PKWY, GRAND PRAIRIE, TX 75051-4958
(972) 262-8211
Mailing address
406 ANGELA LN, EULESS, TX 76039-3855
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP142641
TX
Other
Enumeration date
08/22/2022
Last updated
01/12/2023
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