Individual
DR. IDEAN NIKROOYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9301 N CENTRAL EXPY, TWR 2, STE 180, DALLAS, TX 75231
(214) 253-0202
(214) 253-0203
Mailing address
9301 N CENTRAL EXPY, TWR 2, STE 180, DALLAS, TX 75231
(214) 253-0202
(214) 253-0203
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
Q9699
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
379915701
—
TX
Enumeration date
03/29/2011
Last updated
01/22/2019
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