Organization
AHMED MIRZA FNP-C, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AHMED IHSAN MIRZA FNP-C (OWNER)
(313) 485-4600
Entity
Organization
Contact information
Practice address
17913 CRIMSON APPLE WAY, PFLUGERVILLE, TX 78660-2423
(313) 485-4600
Mailing address
17913 CRIMSON APPLE WAY, PFLUGERVILLE, TX 78660-2423
(313) 485-4600
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
—
—
Other
Enumeration date
01/15/2019
Last updated
01/15/2019
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