Wallizadeh, Mariam

Wallizadeh, Mariam is an individual health care provider with primary practice located at 2693 Fm 3009 , Schertz TX 78154-2712. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Wallizadeh, Mariam can be contacted via phone (210) 658-3087.

Contact Information

Primary practice address
2693 Fm 3009 Schertz TX 78154-2712
Phone: (210) 658-3087
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 26NJ00978800 New Jersey
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 1027726 Texas

Profile Details

NPI number 1740828169
LBN Legal business name Wallizadeh, Mariam
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 16th, 2019
Last updated Mar 1st, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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