M3 Nelson LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

M3 NELSON LLC

Practice address

701 E Bluff St Apt 7209
Fort Worth, TX 76102-2375

Phone

(702) 767-9192

Fax

(361) 452-8359

NPI assigned

Jun 14, 2021

Last updated

Oct 17, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michale Mirzoyan, MD

Title

Ceo

Phone

(702) 767-9192

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1623628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729123200000",
    "number": "1922676329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 E BLUFF ST APT 7209",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761022375",
            "telephone_number": "702-767-9192",
            "fax_number": "361-452-8359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 E BLUFF ST APT 7209",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761022375",
            "telephone_number": "702-767-9192",
            "fax_number": "361-452-8359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M3 NELSON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-14",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A",
        "authorized_official_last_name": "MIRZOYAN",
        "authorized_official_first_name": "MICHALE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "702-767-9192",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Fort Worth, TX
• Providers in Fort Worth, 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 Oct 17, 2024; 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.