Organization
NAZRUL ISLAM M.D, P.A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEL SALINA HICKS (CLINICAL COORDINATOR)
(512) 371-7905
Entity
Organization
Contact information
Practice address
1600 W 38TH ST, 415, AUSTIN, TX 78731-6400
(512) 371-7905
(512) 371-9866
Mailing address
1600 W 38TH ST, 415, AUSTIN, TX 78731-6400
(512) 371-7905
(512) 371-9866
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
L5384
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001XM
BCBS-GROUP
TX
01
—
0056MH
BCBS
TX
Enumeration date
03/16/2012
Last updated
03/22/2013
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