Individual
ALI REZA ABTAHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5288 TOWNE SQUARE DR STE 150, PLANO, TX 75024-0037
(469) 293-8707
(469) 294-8707
Mailing address
11816 INWOOD RD # 1400, DALLAS, TX 75244-8011
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
01086289A
IN
2086S0122X
Plastic and Reconstructive Surgery Physician
T0683
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/16/2012
Last updated
10/18/2023
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