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Individual

AMIR RASSOLI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
4401 GARTH RD, BAYTOWN, TX 77521
(616) 734-0335
Mailing address
PO BOX 62022, HOUSTON, TX 77205
(616) 734-0335
(616) 949-8540

Taxonomy

Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
J4466
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
138437208
TX
Enumeration date
10/25/2006
Last updated
11/05/2007
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