Individual
MR. AMIR ALI HOMAYOUNKHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
379 FM 2972 W, RUSK, TX 75785-3666
(903) 683-5781
Mailing address
1113 S SYLVAN AVE, PALESTINE, TX 75801-5132
(903) 373-2139
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1137324
TX
Other
Enumeration date
10/23/2023
Last updated
10/23/2023
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