Individual
DR. IMTIAZ A MEHKRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., P.A.
Contact information
Practice address
510 S CLOSNER BLVD, EDINBURG, TX 78539-4660
(956) 386-1122
(956) 386-1133
Mailing address
510 S CLOSNER BLVD, EDINBURG, TX 78539-4660
(956) 386-1122
(956) 386-1133
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
K6650
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
096460304
—
TX
01
—
8AJ889
BCBS OF TEXAS
TX
Enumeration date
06/23/2005
Last updated
02/28/2020
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