Provider Demographics
NPI:1487905634
Name:IDRIZOVIC, AZRA (DO)
Entity type:Individual
Prefix:
First Name:AZRA
Middle Name:
Last Name:IDRIZOVIC
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:9600 N CENTRAL EXPY
Mailing Address - Street 2:STE 300
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-5025
Mailing Address - Country:US
Mailing Address - Phone:214-739-3900
Mailing Address - Fax:214-739-3901
Practice Address - Street 1:9600 N CENTRAL EXPY
Practice Address - Street 2:STE 300
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231
Practice Address - Country:US
Practice Address - Phone:214-739-3900
Practice Address - Fax:214-739-3901
Is Sole Proprietor?:No
Enumeration Date:2012-09-27
Last Update Date:2016-10-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXR0024207W00000X
FLOS13206207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology