Individual
KEVIN TAHERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1401 MEDICAL PKWY STE 407, CEDAR PARK, TX 78613-5015
(512) 879-1461
(512) 879-1462
Mailing address
1401 MEDICAL PKWY STE 407, CEDAR PARK, TX 78613-5015
(512) 879-1461
(512) 879-1462
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
Q5106
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Q5106
TEXAS STATE LICENSE
TX
Enumeration date
04/26/2010
Last updated
10/31/2024
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