Organization
ROUNDRCOK DSG PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PEJMAN KHOSRAVIAN (CEO)
(512) 722-6338
Entity
Organization
Contact information
Practice address
503 E PALM VALLEY BLVD, SUITE #120, ROUND ROCK, TX 78664-3046
(512) 271-6591
Mailing address
503 E PALM VALLEY BLVD, SUITE #120, ROUND ROCK, TX 78664-3046
(512) 271-6591
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
25904
TX
Other
Enumeration date
05/26/2016
Last updated
05/26/2016
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