Organization Active NPI

Ahmed Mirza FNP-C, PLLC

  • Point of Service
  • Pflugerville, TX
National Provider Identifier
1669946380
Registry record updated Jan 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
Legal business name
AHMED MIRZA FNP-C, PLLC
Practice address
17913 Crimson Apple Way
Pflugerville, TX 78660-2423
Phone
(313) 485-4600
NPI assigned
Jan 15, 2019
Last updated
Jan 15, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ahmed Ihsan Mirza, FNP-C
Title
Owner
Phone
(313) 485-4600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X Primary

Addresses

Primary practice location

17913 Crimson Apple Way
Pflugerville, TX 78660-2423

Mailing address

17913 Crimson Apple Way
Pflugerville, TX 78660-2423
Phone (313) 485-4600

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1547510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547510400000",
    "number": "1669946380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17913 CRIMSON APPLE WAY",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786602423",
            "telephone_number": "313-485-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17913 CRIMSON APPLE WAY",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786602423",
            "telephone_number": "313-485-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AHMED MIRZA FNP-C, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-15",
        "last_updated": "2019-01-15",
        "status": "A",
        "authorized_official_last_name": "MIRZA",
        "authorized_official_first_name": "AHMED",
        "authorized_official_middle_name": "IHSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-485-4600",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pflugerville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.