Individual
DR. MEHRABAN KAVOUSSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1005 HARBORSIDE DR F5, GALVESTON, TX 77555-0001
(409) 772-9605
Mailing address
PO BOX 29343, AUSTIN, TX 78755-6343
(512) 373-0361
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
BP10079512
TX
Other
Enumeration date
06/07/2022
Last updated
06/07/2022
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