Individual
ALIA NOOHU NAZARULLAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 358-4000
Mailing address
7703 FLOYD CURL DR, SAN ANTONIO, TX 78229-3901
(210) 358-4000
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
Q9218
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
363456001
—
TX
01
—
363456002
CSHCN
TX
Enumeration date
06/20/2010
Last updated
11/14/2016
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