Individual
DR. ALI DAFTARIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2801 FRANCISCAN DR, BRYAN, TX 77802-2544
(979) 774-1377
(979) 774-6147
Mailing address
PO BOX 10797, COLLEGE STATION, TX 77842-0797
(979) 774-1377
(979) 774-6147
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
P3139
TX
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
P3139
TX
Other
Enumeration date
06/25/2008
Last updated
07/25/2022
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