Organization
MAMAD BAGHERI MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAMAD BAGHERI MD (SOLE MEMBER/OWNER)
(951) 500-7286
Entity
Organization
Contact information
Practice address
4327 BARNETT RD, WICHITA FALLS, TX 76310-2303
(951) 500-7286
Mailing address
4327 BARNETT RD, WICHITA FALLS, TX 76310-2303
(951) 500-7286
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
—
—
Other
Enumeration date
11/05/2016
Last updated
11/05/2016
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