Individual
MADJID MIRZAITEHRANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2727 W HOLCOMBE BLVD, HOUSTON, TX 77025-1669
(713) 442-0000
Mailing address
11511 SHADOW CREEK PKWY, PEARLAND, TX 77584-7298
(713) 442-0000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
L1941
TX
207RC0000X
Cardiovascular Disease Physician
Primary
L1941
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142956501
—
TX
05
—
142956502
—
TX
05
—
142956505
—
TX
Enumeration date
11/06/2006
Last updated
06/11/2021
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