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Individual

ALI GHAZAVI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ANP

Contact information

Practice address
4747 BELLAIRE BLVD, SUITE 101, BELLAIRE, TX 77401-4527
(713) 622-1700
Mailing address
4747 BELLAIRE BLVD, SUITE 101, BELLAIRE, TX 77401-4527
(713) 622-1700

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
773335
TX

Other

Enumeration date
01/08/2013
Last updated
10/07/2014
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