Individual
DR. BANAFSHEH BAHARLOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
11515 CHIMNEY ROCK RD, HOUSTON, TX 77035-2905
(713) 728-3117
(713) 728-2212
Mailing address
11515 CHIMNEY ROCK RD, HOUSTON, TX 77035-2905
(713) 728-3117
(713) 728-2212
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
2095
TX
213ES0131X
Foot Surgery Podiatrist
2095
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
344183401
—
TX
Enumeration date
05/04/2012
Last updated
05/27/2015
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