NAZRUL ISLAM MD, PA
Ambulatory Health at 38 St, Austin, TX

License number
Texas L5384
Category
Ambulatory Health
Type
Mental Health (Including Community Mental Health Center)
Owner
Name: DR. NAZRUL ISLAM M.D.
Title: PRESIDENT
Phone: (512) 371-7905
Address
Address
1600 W 38Th St SUITE 415, Austin, TX 78731
National Provider ID: 1306024799
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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NAZRUL ISLAM, M.D., PA

Austin, TX

Status:
Inactive
Industry:
Medical Doctor's Office
Doing business as:
Nazrul Islam, M.D., PA
Registration:
Dec 29, 2004
Addresses:
9802 Tree Bnd Cv, Austin, TX 78750 (Mailing)
1600 W 38 St, Austin, TX 78731
State ID:
0800432584
President, Director, Member, Executive Committee, Secretary, Treasurer, Vice-President:
Nazrul Islam President, Director, Member, Executive Committee, Secretary, Treasurer, Vice-President, inactive
TIN:
32035479206

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