Individual
SANJAR KURBANOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5555 AMESBURY DR APT 1112, DALLAS, TX 75206-3053
(214) 865-8777
Mailing address
5555 AMESBURY DR APT 1112, DALLAS, TX 75206-3053
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
976932
TX
Other
Enumeration date
01/24/2020
Last updated
01/24/2020
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