# PEJMAN KHOSRAVIAN P.C

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** San Marcos Root Canal Specialists
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669739819
- **Authorized official:** DR. PEJMAN KHOSRAVIAN D.M.D (OWNER)
- **Authorized official phone:** (512) 722-6338

## Contact information

- **Practice address:** 1920 CORPORATE DR \# 107A, SAN MARCOS, TX 78666-6077
- **Practice address phone:** (512) 722-6338
- **Mailing address:** 1920 CORPORATE DR \# 107A, SAN MARCOS, TX 78666-6077

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | 25269 | TX | Yes |

## Other

- **Enumeration date:** 04/12/2012
- **Last updated:** 04/12/2012