Individual
MR. ANDREW NYAZAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4200 LIVE OAK ST, DALLAS, TX 75204-6733
(214) 821-0050
Mailing address
325 S JUPITER RD, APT 526, ALLEN, TX 75002-3058
(817) 715-6442
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2108076
TX
Other
Enumeration date
01/20/2015
Last updated
01/20/2015
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