Individual
DR. MICHELLE AZAT FOSHAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
901 W BEN WHITE BLVD, AUSTIN, TX 78704
(512) 447-2211
Mailing address
901 W BEN WHITE BLVD, AUSTIN, TX 78704-6903
(512) 447-2211
Taxonomy
Speciality
Code
Description
License number
State
207ZH0000X
Hematology (Pathology) Physician
BP20055342
TX
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
BP10044564
TX
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
R6562
TX
Other
Enumeration date
08/03/2012
Last updated
07/25/2018
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