Provider Demographics
NPI:1194170282
Name:NAZIF, BILAL (DO)
Entity type:Individual
Prefix:
First Name:BILAL
Middle Name:
Last Name:NAZIF
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:502 S CLOSNER BLVD
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78539-4660
Mailing Address - Country:US
Mailing Address - Phone:956-468-2999
Mailing Address - Fax:956-468-2997
Practice Address - Street 1:104 S BRYAN RD
Practice Address - Street 2:
Practice Address - City:MISSION
Practice Address - State:TX
Practice Address - Zip Code:78572-6218
Practice Address - Country:US
Practice Address - Phone:956-585-1691
Practice Address - Fax:956-585-6058
Is Sole Proprietor?:No
Enumeration Date:2016-04-26
Last Update Date:2023-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXBP10055793390200000X
TXS1873207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program