Individual
DR. DARIOUSH KAVOUSPOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2965 HARRISON ST STE 211, BEAUMONT, TX 77702-1149
(409) 899-8501
(409) 899-8510
Mailing address
4355 BROWNSTONE DR, BEAUMONT, TX 77706-7468
(409) 899-7863
(409) 899-7862
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
K4467
TX
2086S0127X
Trauma Surgery Physician
Primary
K4467
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PO89011J2
—
TX
Enumeration date
07/15/2005
Last updated
09/19/2022
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