Individual
MARIAM PANJWANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3930 CRUTCHER ST, DALLAS, TX 75246-1701
(214) 680-7860
Mailing address
2312 PALMETTO WAY, SOUTHLAKE, TX 76092-1456
(214) 680-7860
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
736856
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
736856
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8791UF
BCBS
TX
Enumeration date
01/15/2013
Last updated
12/18/2025
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