Organization
EGHTEDAR SADEGHPOUR MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EGHTEDAR SADEGHPOUR MD (PRESIDENT)
(713) 932-6100
Entity
Organization
Contact information
Practice address
909 FROSTWOOD DR, 256, HOUSTON, TX 77024-2301
(713) 932-6100
(713) 932-6149
Mailing address
909 FROSTWOOD DR, 256, HOUSTON, TX 77024-2301
(713) 932-6100
(713) 932-6149
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
085199001
—
TX
Enumeration date
01/03/2008
Last updated
12/29/2008
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