Individual
PAYAM DEHGHANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6800 IH 10 W, SUITE 200, SAN ANTONIO, TX 78201-2038
(210) 271-3203
(210) 476-0937
Mailing address
6800 IH 10 W, SUITE 200, SAN ANTONIO, TX 78201-2038
(210) 271-3203
(210) 476-0937
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
M9960
TX
Other
Enumeration date
09/12/2009
Last updated
09/12/2009
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