MN Cozby-Germany LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

M4354 Issued in TX

Legal business name

MN COZBY-GERMANY LLC

Practice address

707 N Waldrip St
Grand Saline, TX 75140-1555

Phone

(903) 962-4242

NPI assigned

Mar 26, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Abbas Raza Mian, MD

Title

President

Phone

(903) 962-4242

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1364256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364256000000",
    "number": "1912249053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 N WALDRIP ST",
            "city": "GRAND SALINE",
            "state": "TX",
            "postal_code": "751401555",
            "telephone_number": "903-962-4242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 N WALDRIP ST",
            "city": "GRAND SALINE",
            "state": "TX",
            "postal_code": "751401555",
            "telephone_number": "903-962-4242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MN COZBY-GERMANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-26",
        "last_updated": "2013-03-26",
        "status": "A",
        "authorized_official_last_name": "MIAN",
        "authorized_official_first_name": "ABBAS",
        "authorized_official_middle_name": "RAZA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "903-962-4242",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M4354",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": "TX",
            "license": "M8865",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ricardo Llanes
• Loh Ops Grand Saline Country Trails LLC
• Loh Ops Grand Saline LLC
• Veronica Trejo Mata, LVN
• Medicine Chest Medical Supply, Inc.
• David Edward Monty, D.C.
• N Grand Saline Operations LLC
• Glynda Don Oglesby, RN
• Gwenda Ordin
• Charles J Perritt, LPC-A, LCDCI

• Internal Medicine Physician in Grand Saline, TX
• Providers in Grand Saline, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2013; 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.