Individual
AMIR A. JAZAERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030
(713) 792-6161
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
L3696
TX
207VX0201X
Gynecologic Oncology Physician
0101057964
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010064457
—
VA
05
—
154576602 (MDACC)
—
TX
01
—
8G8051
BCBS (MDACC)
TX
Enumeration date
03/29/2007
Last updated
08/30/2018
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