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Individual

JOHN JOSEPH MAHMARIAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6550 FANNIN ST, SMITH TOWER, SUITE 1901, HOUSTON, TX 77030-2717
(713) 441-1100
(713) 790-2643
Mailing address
6550 FANNIN ST, SMITH TOWER, SUITE 1901, HOUSTON, TX 77030-2717
(713) 441-1100
(713) 790-2643

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
F9767
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00T79S
MEDICARE1
TX
05
134999509
TX
05
134999510
TX
05
134999511
TX
05
1375250
LA
01
612341
MEDICARE 2
TX
01
770000927
MEDICARE 3
TX
01
8U8373
BLUE CROSS BLUE SHIELD
TX
01
P00295327
RAILROAD MEDICARE
TX
01
P01036901
RR MEDICARE
TX
Enumeration date
07/03/2006
Last updated
03/07/2014
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