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M. REZA MIZANI M.D. P.A. NPI 1497813331


NPI Information

NPI: 1497813331
Provider Name: M. REZA MIZANI, M.D., P.A.

Doing Business As: SOUTH TEXAS RENAL CARE GROUP

Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

Address:
215 N SAN SABA STE 301
SAN ANTONIO, TX
ZIP 78207
Phone: (210) 212-8622
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M. REZA MIZANI, M.D., P.A. is a nephrology internal medicine in San Antonio, TX. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. M. REZA MIZANI, M.D., P.A. NPI is 1497813331. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As South Texas Renal Care Group.

The provider's business location address is:

215 N SAN SABA STE 301
SAN ANTONIO, TX
ZIP 78207-101
Phone: (210) 212-8622
Fax: (210) 212-9197

The provider's authorized official is Mohammad Reza Mizani .
The authorized official title is President and has the following contact phone number (210) 212-8622.

The enumeration date for this NPI number is 12/4/2006 and was last updated on 7/24/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RN0300XInternal MedicineNephrologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1=========OTHERTEXASTAX ID STRCG
28L25654MEDICARE PINTEXAS
3P00440046OTHERTEXASMEDICARE RAILROAD
4191158801MEDICAIDTEXAS
500X933MEDICARE PINTEXAS
6205978580OTHERTEXASEIN
7G42073MEDICARE UPINTEXAS
80017PXOTHERTEXASBCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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