Organization
M. REZA MIZANI, M.D., P.A.
Active
Other names
South Texas Renal Care Group
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMAD REZA MIZANI M.D. (PRESIDENT)
(210) 212-8622
Entity
Organization
Contact information
Practice address
215 N SAN SABA STE 301, SAN ANTONIO, TX 78207-8101
(210) 212-8622
(210) 212-9197
Mailing address
PO BOX 504152, SAINT LOUIS, MO 63150-4152
(210) 212-8622
(210) 212-9197
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0017PX
BCBS
TX
05
—
191158801
—
TX
01
—
P00440046
MEDICARE RAILROAD
TX
Enumeration date
12/04/2006
Last updated
07/24/2017
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up