Sou

LBN: M. Reza Mizani, M.D., P.A.
Sou is an health care organization with primary practice located at 215 N San Saba Ste 301 , San Antonio TX 78207-3164. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Nephrology, Allopathic & Osteopathic Physicians / Surgery, Podiatric Medicine & Surgery Service Providers / Podiatrist. Allopathic & Osteopathic Physicians / Nephrology is the primary health care specialty. M. Reza Mizani, M.D., P.A. can be contacted via phone (210) 212-8622, or through Camarillo, Veronica Marie via phone (210) 212-8622.

Contact Information

Primary practice address
215 N San Saba Ste 301 San Antonio TX 78207-3164
Phone: (210) 212-8622
Fax: (210) 212-9197
Website:
Map and Directions
Authorized official contact:
Name: Camarillo, Veronica Marie
Phone: (210) 212-8622

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X N7871 Texas
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X L2477 Texas
Allopathic & Osteopathic Physicians / Surgery 208600000X G7417 Texas
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 1596 Texas

Profile Details

NPI number 1275503393
LBN Legal business name M. Reza Mizani, M.D., P.A.
DBA Doing business as Sou
Authorized official Camarillo, Veronica Marie
Entity Organization
Organization subpart 1 No
Enumeration date Jan 23rd, 2006
Last updated Mar 17th, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275503393 NPPES
Texas MEDICAID 167911002

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