Individual
ASIF AZIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4004 MEDICAL PKWY, GREENVILLE, TX 75401-7854
(903) 450-1515
(903) 450-9466
Mailing address
4004 MEDICAL PKWY, GREENVILLE, TX 75401-7854
(903) 450-1515
(903) 450-9466
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
N2391
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TXB 109981
MEDICARE PTAN
TX
Enumeration date
10/05/2006
Last updated
10/30/2024
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