Individual
DR. ALI SEBASTIAN KIANINEJAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
790 E ALTON GLOOR, BROWNSVILLE, TX 78526-9182
(956) 544-0213
Mailing address
790 E ALTON GLOOR BLVD, BROWNSVILLE, TX 78526
(956) 544-0213
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
61601
TX
Other
Enumeration date
11/17/2020
Last updated
11/17/2020
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