Individual
DR. ROUZBEH K KORDESTANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PA
Contact information
Practice address
3501 SONCY, SUITE 137, AMARILLO, TX 79119-4932
(806) 322-5438
(806) 322-5505
Mailing address
3501 SONCY, SUITE 137, AMARILLO, TX 79119-4932
(806) 322-5438
(806) 322-5505
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
M0133
TX
2086S0122X
Plastic and Reconstructive Surgery Physician
M0133
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
172199501
—
TX
Enumeration date
11/09/2005
Last updated
03/25/2015
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