Provider Demographics
NPI:1326612078
Name:ARASTU, MAHEEN T (NP)
Entity Type:Individual
Prefix:MRS
First Name:MAHEEN
Middle Name:T
Last Name:ARASTU
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 208354
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75320-8354
Mailing Address - Country:US
Mailing Address - Phone:512-485-7200
Mailing Address - Fax:844-364-8678
Practice Address - Street 1:7201 WYOMING SPRINGS DR STE 400
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78681-4311
Practice Address - Country:US
Practice Address - Phone:855-876-7246
Practice Address - Fax:855-277-5070
Is Sole Proprietor?:No
Enumeration Date:2021-05-18
Last Update Date:2023-03-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX1048135363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1048135OtherTEXAS MEDICAL LICENSE
TX1Z1401OtherTEXAS MEDICARE
TX1Z1395OtherTEXAS MEDICARE