Individual
GHOUSIA RIZVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
800 E DAWSON ST, TYLER, TX 75701-2036
(903) 593-8441
Mailing address
800 E DAWSON ST, TYLER, TX 75701-2036
(903) 593-8441
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
250881
NY
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
N1104
TX
Other
Enumeration date
04/05/2006
Last updated
04/16/2019
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