Provider Demographics
NPI:1376019745
Name:HIRANI, KISMAT
Entity Type:Individual
Prefix:
First Name:KISMAT
Middle Name:
Last Name:HIRANI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9229 LEBANON RD
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75035-6065
Mailing Address - Country:US
Mailing Address - Phone:469-300-0929
Mailing Address - Fax:972-218-0554
Practice Address - Street 1:9229 LEBANON RD
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75035-6065
Practice Address - Country:US
Practice Address - Phone:469-300-0929
Practice Address - Fax:722-180-5549
Is Sole Proprietor?:No
Enumeration Date:2018-10-23
Last Update Date:2023-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX643960363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care