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Organization
DR. HAMID REZA JALALI, D.O., P.A.
Active
Organization
DR. HAMID REZA JALALI, D.O., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HAMID REZA JALALI D.O., P.A. (PHYSICIAN)
(409) 745-4421
Entity
Organization
Contact information
Practice address
11946 HWY 62 NORTH, ORANGE, TX 77632
(409) 745-4421
Mailing address
PO BOX 966, MAURICEVILLE, TX 77626-0966
(409) 745-4421
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
H0491
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122951002
—
TX
Enumeration date
09/16/2008
Last updated
09/16/2008
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