Organization
SAN MARCOS DSG PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PEJMAN KHOSRAVIAN (CEO)
(512) 722-6338
Entity
Organization
Contact information
Practice address
1920 CORPORATE DR STE A107, SAN MARCOS, TX 78666-6282
(512) 722-6338
Mailing address
1920 CORPORATE DR STE A107, SAN MARCOS, TX 78666-6282
(512) 722-6338
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
05/16/2016
Last updated
05/16/2016
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