Individual
PEYMAN PAKZABAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MDPA
Contact information
Practice address
3801 VISTA RD STE 440, PASADENA, TX 77504-2162
(713) 941-0008
(713) 941-6262
Mailing address
3801 VISTA RD STE 440, PASADENA, TX 77504-2162
(713) 941-0008
(713) 941-6262
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
H8305
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00U34T
MEDICARE GROUP PTAN
TX
05
—
036295601
—
TX
01
—
1320205
UNITED HEALTHCARE ID
TX
01
—
5613188
AETNA ID
TX
01
—
6425199
CIGNA PIN
TX
01
—
8BL550
BCBS ACCOUNT NUMBER AS OF 07/24/2008
TX
01
—
G17452
UPIN
TX
01
—
P00621639
RAILROAD MEDICARE PART B
TX
Enumeration date
07/26/2005
Last updated
10/14/2008
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