Individual
ALI MORTAZAVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2727 W HOLCOMBE BLVD, HOUSTON, TX 77025-1669
(713) 442-0000
Mailing address
11511 SHADOW CREEK PKWY, CREDENTIALING SERVICES, PEARLAND, TX 77584-7298
(713) 442-0000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
J3165
TX
207RC0000X
Cardiovascular Disease Physician
J3165
TX
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
J3165
TX
207RI0011X
Interventional Cardiology Physician
Primary
J3165
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117188603
—
TX
05
—
117188607
—
TX
05
—
117188608
—
TX
Enumeration date
10/05/2006
Last updated
05/01/2026
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