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Organization

M. REZA MIZANI, M.D., P.A.

Active
Other names
South Texas Renal Care Group, Vein and Artery Surgical Consultants
Organization subpart
No

Provider details

NPI number
Authorized official
VERONICA MARIE JOHNSON (PRACTICE MANAGER)
(210) 212-8622
Entity
Organization

Contact information

Practice address
215 N SAN SABA STE 301, SAN ANTONIO, TX 78207-3164
(210) 212-8622
(210) 212-9197
Mailing address
PO BOX 650002, DEPT 8286, DALLAS, TX 75265
(210) 212-8622
(210) 212-9197

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
2086S0129X
Vascular Surgery Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
167911002
TX
Enumeration date
01/23/2006
Last updated
06/18/2026
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