Individual
OMIDREZA TABATABAIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3406 COLLEGE ST STE 101, BEAUMONT, TX 77701-4612
(409) 813-1677
(409) 920-7093
Mailing address
3406 COLLEGE ST STE 200, BEAUMONT, TX 77701-4612
(409) 813-1677
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
T6726
TX
Other
Enumeration date
06/11/2017
Last updated
06/25/2024
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