Individual
DR. ARASH MANZORI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2800 E BROAD ST STE 522, MANSFIELD, TX 76063-6417
(682) 242-8970
(214) 947-8668
Mailing address
2800 E BROAD ST STE 522, MANSFIELD, TX 76063-6417
(682) 242-8970
(214) 947-8668
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
L3003
TX
207RI0011X
Interventional Cardiology Physician
L3003
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149603601
—
TX
05
—
149603604
—
TX
01
—
8BQ731
BCBS
TX
01
—
P00658229
RAILROAD MEDICARE
—
Enumeration date
04/13/2006
Last updated
05/20/2024
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