Individual
MARYAM RAZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1441 N BECKLEY AVE, DALLAS, TX 75203-1201
(214) 947-5000
Mailing address
559 E OVILLA RD, RED OAK, TX 75154-3505
(214) 286-6565
(817) 533-6015
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
M2037
TX
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Primary
01680
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
177888802
—
TX
01
—
8BP100
BCBS
TX
Enumeration date
05/18/2006
Last updated
01/08/2024
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