Organization
REZVANI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHABNAM REZVANI DDS (OWNER)
(713) 224-5950
Entity
Organization
Contact information
Practice address
17462 NORTHWEST FWY, JERSEY VILLAGE, TX 77040-1002
(713) 224-5950
(713) 574-2704
Mailing address
17462 NORTHWEST FWY, JERSEY VILLAGE, TX 77040-1002
(713) 224-5950
(713) 574-2704
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
27700
TX
Other
Enumeration date
09/13/2015
Last updated
09/13/2015
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