Individual
DR. VAHID BAGHERIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
720 US HIGHWAY 259 N, ORE CITY, TX 75683-5763
(903) 968-2847
(903) 968-2216
Mailing address
720 US HWY 259 N., ORE CITY, TX 75683-5639
(903) 968-2847
(903) 968-2216
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
G1605
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00DS78
BLUECROSS BLUESHIELD
TX
05
—
133160504
—
TX
Enumeration date
12/11/2006
Last updated
08/13/2010
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