Provider Demographics
NPI:1578796694
Name:SALMA MAZHAR M.D. P.A.
Entity Type:Organization
Organization Name:SALMA MAZHAR M.D. P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SALMA
Authorized Official - Middle Name:
Authorized Official - Last Name:MAZHAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-216-5152
Mailing Address - Street 1:1210 N GALLOWAY AVE
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75149-2438
Mailing Address - Country:US
Mailing Address - Phone:972-216-5152
Mailing Address - Fax:972-216-5154
Practice Address - Street 1:1210 N GALLOWAY AVE
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75149-2438
Practice Address - Country:US
Practice Address - Phone:972-216-5152
Practice Address - Fax:972-216-5154
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-25
Last Update Date:2015-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM8171207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty