Individual
AFSANEH REZAEIZADEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1430 EMPIRE CENTRAL, DALLAS, TX 75247
(214) 645-8500
(214) 648-3775
Mailing address
PO BOX 845347, DALLAS, TX 75284
(214) 645-0624
(214) 645-0078
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1129729
TX
Other
Enumeration date
08/07/2023
Last updated
08/07/2023
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