DR. REZA MOBARAK (NPI# 1013962539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013962539 |
| Entity Type | Individual |
| Full Name | DR. REZA MOBARAK |
| Credential | DPM |
| Practice Address |
502 N Valley Pkwy Ste 2 Lewisville TX 75067-3437 |
| Practice Telephone | 9723160902 |
| Practice Fax Number | 9723161161 |
| Mailing Telephone | 9723160902 |
| Mailing Fax Number | 9723161161 |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2018-10-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
1714 | TX | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 190455902 | 05 |
| Street Address |
502 N VALLEY PKWY STE 2 |
| City | LEWISVILLE |
| State | TX |
| Zip Code | 75067-3437 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134198013 | Archana Chandra | Family Medicine | 502 N Valley Pkwy, Suite 1, Lewisville, TX 75067-3437 | 2006-03-14 |
| 1265827919 | Khan Ltch Holdings LLC | Internal Medicine | 502 N Valley Pkwy, Ste 1, Lewisville, TX 75067-3437 | 2015-03-31 |
| 1093146953 | Sheeba George | Nurse Practitioner | 502 N Valley Pkwy, Suite 1, Lewisville, TX 75067-3437 | 2013-12-03 |
| 1558677682 | Jodi Ann Massie | Nurse Practitioner | 502 N Valley Pkwy, Suite 1, Lewisville, TX 75067-3437 | 2010-08-26 |
| 1417091489 | Archana Chandra, Md, Pa | Family Medicine | 502 N Valley Pkwy, Ste 1, Lewisville, TX 75067-3437 | 2007-02-16 |
| 1588660294 | Steven Fredrick Berkey | Podiatrist | 502 N Valley Pkwy, Ste 2, Lewisville, TX 75067-3437 | 2005-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437767290 | Dental Depot of Lewisville, Pllc | Dentist | 1260 W Fm 3040, Lewisville, TX 75067 | 2020-07-17 |
| 1548885692 | Guiding Grace LLC | Case Management | 405 State Highway 121, Ste A250, Lewisville, TX 75067 | 2020-06-15 |
| 1548800733 | Dfw Lewisville Emergency Center LLC | Emergency Medicine | 1596 W. Main St., Lewisville, TX 75067 | 2020-01-15 |
| 1386286854 | Rachel Lee Herd | Registered Nurse | 940 W Round Grove Rd Apt 2237, Lewisville, TX 75067 | 2019-10-16 |
| 1437631108 | Rosa Lydia Rodriguez | Massage Therapist | 330 Brook Cove Ln, Lewisville, TX 75067 | 2018-08-29 |
| 1023508819 | W. Main Street Dental Lewisville, Tx, P.C. | Dentist | 724 W Main St Ste 316, Lewisville, TX 75067 | 2018-05-16 |
| 1255821286 | Alicia D Wallace | Counselor | 105 Kathryn Dr. Bldg. 3, Ste. D, Lewisville, TX 75067 | 2018-05-15 |
| 1861921116 | Megan Blair Morrison | Dentist | 420 E Round Grove Rd #640, Lewisville, TX 75067 | 2017-06-09 |
| 1508305905 | Schofield Orthodontics Pllc | Dentist | 755 Hwy 121 Byp, A200, Lewisville, TX 75067 | 2017-02-17 |
| 1275080897 | Trinity Counseling | Counselor | 2001 Woven Trail, Lewisville, TX 75067 | 2016-09-01 |
| Find all providers in zip 75067 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841436078 | Southwest Surgery and Wound Care Physicians | Podiatrist | 502 N Valley Parkway Ste 2, Lewisville, TX 75067-4200 | 2008-12-17 |
| 1194990077 | Mitchell N Williams | Podiatrist | 502 N Valley Pkwy Ste 2, Lewisville, TX 75067 | 2008-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336748656 | Lonestar Foot and Ankle Surgical Associates, Pllc | Podiatrist | 515 E Court St Ste 300, Seguin, TX 78155-5726 | 2020-10-19 |
| 1528665437 | New Horizon Foot and Ankle Specialists | Podiatrist | 2448 Highway 121, Unit 808, Bedford, TX 76021-7317 | 2020-10-04 |
| 1467067603 | Katy Foot & Ankle Pllc | Podiatrist | 21660 Kingsland Blvd # 500, Katy, TX 77450-2511 | 2020-09-14 |
| 1154932812 | Delara Foot and Ankle Pllc | Podiatrist | 1604 Hospital Pkwy Ste 309, Bedford, TX 76022-6931 | 2020-08-14 |
| 1245858265 | Biel Foot & Ankle Specialists Pllc | Podiatrist | 19002 Park Row, Suite 100, Houston, TX 77084 | 2020-07-07 |
| 1013536952 | Select Foot and Ankle Specialists, P.l.l.c. | Podiatrist | 25222 Northwest Fwy Apt 185, Cypress, TX 77429-1038 | 2020-04-10 |
| 1871129445 | Interventional Partners LLC | Podiatrist | 17189 I 45 S Ste 285, Shenandoah, TX 77385-3320 | 2020-03-16 |
| 1073149647 | Interventional Partners LLC | Podiatrist | 18300 Katy Fwy Ste 235, Houston, TX 77094-1521 | 2020-03-16 |
| 1053947622 | Interventional Partners LLC | Podiatrist | 915 Gessner Rd Ste 380, Houston, TX 77024-2519 | 2020-03-16 |
| 1245866813 | Interventional Partners LLC | Podiatrist | 18220 Tomball Pkwy Ste 220, Houston, TX 77070-4370 | 2020-03-16 |
| Find all providers with the same taxonomy | ||||
| City | LEWISVILLE |
| Zip Code | 75067 |
Please comment or provide details below to improve the information on DR. REZA MOBARAK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.