NAZRE MAWLA MD PA
Radiology at Coulter St, Amarillo, TX

License number
Texas G1103
Category
Radiology
Type
Surgery
Owner
Name: NAZRE MAWLA MD
Title: OWNER OFFICIER
Phone: (806) 358-1671
Address
Address
1215 S Coulter St SUITE 201, Amarillo, TX 79106
National Provider ID: 1164502753
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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NAZRE MAWLA, M.D., PA

Amarillo, TX

Industry:
Medical Doctor's Office
Doing business as:
Nazre Mawla, M.D., PA
Registration:
May 21, 1984
Addresses:
3501 S Soncy Rd STE 133, Amarillo, TX 79119 (Mailing)
1215 S Coulter St, Amarillo, TX 79106
State ID:
0080962203
Business type:
Professional Association
Director , Member , President, Secretary:
N. Mawla (Director , Member , President, Secretary)
Agent:
Nazre Mawla,3501 S Soncy SUITE 133, Amarillo, TX 79119 (Physical)
TIN:
32036039033

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