Individual
DR. MORTEZA SHATERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
900 PROSPECT DR, TRINITY, TX 75862-0000
(800) 893-9698
Mailing address
200 CORPORATE BLVD, SUITE 201, LAFAYETTE, LA 70508-3870
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
L0591
TX
Other
Enumeration date
10/27/2006
Last updated
07/08/2007
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