Provider Demographics
NPI:1568629061
Name:NAZIR, FIZA (MD)
Entity Type:Individual
Prefix:DR
First Name:FIZA
Middle Name:
Last Name:NAZIR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1801 S CARRIER PKWY
Mailing Address - Street 2:
Mailing Address - City:GRAND PRAIRIE
Mailing Address - State:TX
Mailing Address - Zip Code:75051-3702
Mailing Address - Country:US
Mailing Address - Phone:844-388-6541
Mailing Address - Fax:844-452-8151
Practice Address - Street 1:1801 S CARRIER PKWY
Practice Address - Street 2:
Practice Address - City:GRAND PRAIRIE
Practice Address - State:TX
Practice Address - Zip Code:75051-3702
Practice Address - Country:US
Practice Address - Phone:844-388-6541
Practice Address - Fax:844-452-8151
Is Sole Proprietor?:No
Enumeration Date:2008-05-21
Last Update Date:2021-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY254002207Q00000X, 390200000X
TXQ7758207QH0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QH0002XAllopathic & Osteopathic PhysiciansFamily MedicineHospice and Palliative Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program