Individual
MAHSA FIROOZI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5738 DESERET TRL, DALLAS, TX 75252-2328
(714) 400-4057
Mailing address
5738 DESERET TRL, DALLAS, TX 75252-2328
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
1050540
TX
Other
Enumeration date
11/16/2021
Last updated
11/16/2021
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