Organization
PEYMAN PAKZABAN, MD PA
Active
Other names
Peyman Pakzaban MD
Organization subpart
No
Provider details
NPI number
Authorized official
STACI LEE VAUDRIN (SENIOR FINANCE COORDINATOR)
(713) 941-0008
Entity
Organization
Contact information
Practice address
3801 VISTA RD STE 440, PASADENA, TX 77504-2162
(713) 941-0008
(713) 941-6262
Mailing address
3801 VISTA RD STE 440, PASADENA, TX 77504-2162
(713) 941-0008
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
H8305
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8BL550
BCBS ACCOUNT NUMBER
TX
01
—
DN4802
RAILROAD MEDICARE PART B
TX
Enumeration date
04/25/2008
Last updated
10/14/2008
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