Organization
FAMILY CLINIC OF ANAHUAC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOSSEIN YAZDANI MD (MD)
(409) 267-3118
Entity
Organization
Contact information
Practice address
105 SOUTH KANSAS STREET, ANAHUAC, TX 77514-1703
(409) 267-3118
(409) 267-3740
Mailing address
PO BOX C, ANAHUAC, TX 77514-1703
(409) 267-3118
(409) 267-3740
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
K1957
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1477564-01
—
TX
01
—
8784NO
MEDICARE
TX
Enumeration date
08/22/2006
Last updated
04/16/2013
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