Individual
NASIR A TANAULI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 CITYWEST BLVD STE 300, HOUSTON, TX 77042-2549
(972) 715-5000
(972) 715-9976
Mailing address
PO BOX 840853 STE# 580, DALLAS, TX 75284-4527
(972) 715-5000
(972) 715-9976
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
L4744
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
152690710
—
TX
01
—
8AG835
BCBS
TX
Enumeration date
10/16/2005
Last updated
07/15/2020
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