Individual
ANAS DAGHESTANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6835 AUSTIN CENTER BLVD, AUSTIN, TX 78731-3189
(512) 388-8470
(512) 445-6532
Mailing address
6210 E HIGHWAY 290 STE 240, AUSTIN, TX 78723-1144
(512) 407-8686
(512) 406-6216
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
M1616
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
174473201
—
TX
05
—
174473202
—
TX
05
—
174473203
—
TX
Enumeration date
07/31/2006
Last updated
05/15/2021
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