Individual
MARYAM TAGHADOSI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1213 HERMANN DR, SUITE 770, HOUSTON, TX 77004-7018
(713) 807-8921
(713) 529-6195
Mailing address
1213 HERMANN DR, SUITE 770, HOUSTON, TX 77004-7018
(713) 807-8921
(713) 529-6195
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
J5128
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
133453401
—
TX
05
—
133453405
—
TX
Enumeration date
08/03/2006
Last updated
04/13/2009
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