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
08/12/2025
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