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Individual

SHABANA PARVEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2831 OAK GLEN CT, GRAND PRAIRIE, TX 75052-0401
(682) 256-2749
(833) 295-9082
Mailing address
2831 OAK GLEN CT, GRAND PRAIRIE, TX 75052-0401
(682) 256-2749
(833) 295-9082

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
M7506
TX
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
M7506
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
188377901
TX
05
188377906
TX
05
54007267
NM
01
8AA312
BCBS
TX
01
8AB545
BCBSTX
TX
01
P00879699
RRMCARE THRU HEB
TX
Enumeration date
10/28/2005
Last updated
03/06/2025
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