| M3 Nelson LLC | |
|
701 E Bluff St Apt 7209 Fort Worth TX 76102-2375 | |
| (702) 767-9192 | |
| (361) 452-8359 |
| Full Name | M3 Nelson LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 701 E Bluff St Apt 7209, Fort Worth, Texas |
| Authorized Official Name and Position | Michale Mirzoyan (CEO) |
| Authorized Official Contact | 7027679192 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| M3 Nelson LLC 701 E Bluff St Apt 7209 Fort Worth TX 76102-2375 Ph: (702) 767-9192 | M3 Nelson LLC 701 E Bluff St Apt 7209 Fort Worth TX 76102-2375 Ph: (702) 767-9192 |
| NPI Number | 1922676329 |
|---|---|
| Provider Enumeration Date | 06/14/2021 |
| Last Update Date | 10/17/2024 |
| Certification Date | 10/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922676329 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
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