Provider Demographics
NPI:1427864461
Name:WARSZAWSKI, ALIYA MAZAL (FNP)
Entity type:Individual
Prefix:
First Name:ALIYA
Middle Name:MAZAL
Last Name:WARSZAWSKI
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7903 PORTAL DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77071-1609
Mailing Address - Country:US
Mailing Address - Phone:954-669-8486
Mailing Address - Fax:
Practice Address - Street 1:7903 PORTAL DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77071-1609
Practice Address - Country:US
Practice Address - Phone:954-669-8486
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-04
Last Update Date:2024-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF12240031207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine