Individual
AZADEH TAVAKOLIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2821 GEORGE BUSH HWY STE 500, RICHARDSON, TX 75082-4278
(469) 206-6957
(469) 206-6953
Mailing address
2821 GEORGE BUSH HWY STE 500, RICHARDSON, TX 75082-4278
(469) 206-6957
(469) 206-6953
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1000014
TX
Other
Enumeration date
07/29/2020
Last updated
02/26/2025
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