Individual
SEYED POUYAN JALALI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508
(254) 724-2111
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
Taxonomy
Speciality
Code
Description
License number
State
2084N0008X
Neuromuscular Medicine (Psychiatry & Neurology) Physician
Primary
S1615
TX
2084N0400X
Neurology Physician
S1615
TX
Other
Enumeration date
04/25/2012
Last updated
12/01/2020
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