Individual
KAZIM H. MIRZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4009
(713) 792-6161
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
L3022
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050089245
RR MEDICARE
TX
05
—
153036201
—
TX
01
—
8F0656
BCBS
TX
Enumeration date
10/11/2006
Last updated
09/02/2011
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