Individual
HOOMAN TABATABAI-MIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1150 N LOOP 1604 W, SUITE 108-259, SAN ANTONIO, TX 78248-4500
(210) 325-5152
Mailing address
1150 N LOOP 1604 W, SUITE 108-259, SAN ANTONIO, TX 78248-4500
(210) 325-5152
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
P59616
NY
Other
Enumeration date
06/18/2008
Last updated
06/18/2008
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