Basic Information
| Provider Information | |||||||||
| NPI: | 1194170282 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | NAZIF | ||||||||
| FirstName: | BILAL | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7500 RIALTO BLVD STE 1-140 | ||||||||
| Address2: | |||||||||
| City: | AUSTIN | ||||||||
| State: | TX | ||||||||
| PostalCode: | 787358534 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5127303056 | ||||||||
| FaxNumber: | 8887301925 | ||||||||
| Practice Location | |||||||||
| Address1: | 5501 S MCCOLL RD | ||||||||
| Address2: | |||||||||
| City: | EDINBURG | ||||||||
| State: | TX | ||||||||
| PostalCode: | 785395503 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9563628677 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/26/2016 | ||||||||
| LastUpdateDate: | 07/16/2019 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 390200000X | BP10055793 | TX | N | Student, Health Care | Student in an Organized Health Care Education/Training Program | 207R00000X | S1873 | TX | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.