Organization
SHAYAN A. IZADDOOST, M.D., P.L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAYAN A IZADDOOST MD, PHD (MANAGER)
(832) 350-1020
Entity
Organization
Contact information
Practice address
3936 MILTON ST, HOUSTON, TX 77005-2848
(832) 350-1020
Mailing address
3936 MILTON ST, HOUSTON, TX 77005-2848
(832) 350-1020
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
N0850
TX
Other
Enumeration date
01/23/2010
Last updated
01/23/2010
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