| 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 | Yes. This clinic participates in medicare program and accept medicare insurance. |
| 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 |
| Medicare PECOS PAC ID | 2668878166 |
|---|---|
| Medicare Enrollment ID | O20210908004212 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922676329 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Michael Mirzoyan |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1073787545 PECOS PAC ID: 9931230562 Enrollment ID: I20190820003865 |
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