Provider Demographics
NPI:1568462414
Name:NAZARIAN, ARAX B (DO)
Entity Type:Individual
Prefix:DR
First Name:ARAX
Middle Name:B
Last Name:NAZARIAN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:ARAX
Other - Middle Name:B
Other - Last Name:NAZARIAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DO
Mailing Address - Street 1:500 W MAIN ST
Mailing Address - Street 2:#330
Mailing Address - City:LEWISVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75057-3629
Mailing Address - Country:US
Mailing Address - Phone:972-221-5433
Mailing Address - Fax:972-436-3832
Practice Address - Street 1:500 W MAIN ST
Practice Address - Street 2:#330
Practice Address - City:LEWISVILLE
Practice Address - State:TX
Practice Address - Zip Code:75057-3629
Practice Address - Country:US
Practice Address - Phone:972-221-5433
Practice Address - Fax:972-436-3832
Is Sole Proprietor?:No
Enumeration Date:2005-07-21
Last Update Date:2009-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ8444207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX042958105Medicaid
TX042958106Medicaid
TX8CA717OtherBCBS
TX042958105Medicaid
TXG87494Medicare UPIN