Individual
DR. MAHTA OSTADIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
541 SILICON DR STE 102, SOUTHLAKE, TX 76092
(817) 539-6819
(817) 539-6870
Mailing address
541 SILICON DR STE 102, SOUTHLAKE, TX 76092-7565
(817) 539-6819
(817) 539-6870
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
MD60170098
WA
2084P0800X
Psychiatry Physician
Primary
N2703
TX
Other
Enumeration date
06/23/2009
Last updated
10/28/2019
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