Organization
AUSTIN FERTILITY INSTITUTE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH KAMYAR MOGHADAM MD (DIRECTOR/PHYSICIAN)
(512) 339-4234
Entity
Organization
Contact information
Practice address
2200 PARK BEND DR, BLDG. 2 - SUITE 204, AUSTIN, TX 78758-5387
(512) 339-4234
(512) 339-4237
Mailing address
2200 PARK BEND DR, BLDG. 2 - SUITE 204, AUSTIN, TX 78758-5387
(512) 339-4234
(512) 339-4237
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
Primary
N5874
TX
Other
Enumeration date
06/03/2010
Last updated
06/03/2010
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