Individual
DR. SASON TAVAKOLI-SABOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
9105 N WAYSIDE DR, HOUSTON, TX 77028-1030
(713) 633-2020
Mailing address
9105 N WAYSIDE DR, HOUSTON, TX 77028-1030
(713) 633-2020
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
R5660
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4163693-01
—
TX
Enumeration date
05/09/2016
Last updated
01/10/2024
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