Individual
PARVEZ MANTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1411 N BECKLEY AVE, PAVILION III STE 268, DALLAS, TX 75203-1259
(214) 947-4400
(214) 947-4404
Mailing address
1411 N BECKLEY AVE, PAVILION III STE 268, DALLAS, TX 75203-1259
(214) 947-4400
(214) 947-4404
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
M9481
TX
207RI0008X
Hepatology Physician
M9481
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
156924602
—
TX
05
—
195945402
—
TX
01
—
8H8677
BC/BS
TX
Enumeration date
06/17/2006
Last updated
10/19/2021
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