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Mariam Wallizadeh
Family Nurse Practitioner in Schertz, Texas
NPI 1740828169

Mariam Wallizadeh is a Family Nurse Practitioner based in Schertz, TX and is specialized in Family. Mariam Wallizadeh practices in Schertz, TX. The NPI Number for Mariam Wallizadeh is 1740828169 and holds a License No. 26NJ00978800 (Texas).

The current practice location address for Mariam Wallizadeh is 2693 Fm 3009, Schertz, TX and can be reached out via phone at 210-658-3087.

Location: 2693 Fm 3009, Schertz, TX, 78154-2712
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740828169
Provider Name
Mariam Wallizadeh
Credential
Provider Entity Type
Individual
Gender
Female
Address
2693 Fm 3009, Schertz, TX, 78154-2712
Phone Number
210-658-3087
Fax Number
Provider Enumeration Date
12/16/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2693 Fm 3009
City
Schertz
State
Texas
Zip
78154-2712
Phone Number
210-658-3087
Fax Number
person
Provider Business Mailing Address Details
Address
2693 Fm 3009
City
Schertz
State
Texas
Zip
78154-2712
Phone Number
210-658-3087
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
26NJ00978800 (New Jersey)
Definition
Definition to come...
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