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Individual

DR. MOHAMMAD REZA DARRIGAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
12333 WETMORE RD, SAN ANTONIO, TX 78247-3638
(210) 495-6477
(210) 495-6484
Mailing address
12333 WETMORE RD, SAN ANTONIO, TX 78247-3638
(210) 495-6477
(210) 495-6484

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
213E00000X
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00FJ20
BCBS OF TEXAS
TX
05
018704901
TX
01
480003153
RAILROAD MEDICARE
TX
Enumeration date
08/09/2005
Last updated
04/29/2010
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