Individual
DR. MEHRDAD MAZAHERI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
670 W CAMPBELL RD, STE 100, RICHARDSON, TX 75080-3393
(972) 889-3937
(972) 889-9155
Mailing address
670 W CAMPBELL RD, STE 100, RICHARDSON, TX 75080-3393
(972) 889-3937
(972) 889-9155
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
K3330
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
P08196559
—
TX
Enumeration date
07/21/2006
Last updated
07/08/2007
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