Provider Demographics
NPI:1790944510
Name:NASIR, MEHMOODA (MD)
Entity Type:Individual
Prefix:
First Name:MEHMOODA
Middle Name:
Last Name:NASIR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 W AIRPORT FWY
Mailing Address - Street 2:430
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75062-6313
Mailing Address - Country:US
Mailing Address - Phone:972-554-7131
Mailing Address - Fax:
Practice Address - Street 1:800 W AIRPORT FWY
Practice Address - Street 2:430
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75062-6313
Practice Address - Country:US
Practice Address - Phone:972-554-7131
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-06
Last Update Date:2023-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL24942084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry