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Organization

I-10 EAR NOSE AND THROAT PA

Active
Other names
I-10 Ear, Nose and Throat, P.A.
Organization subpart
No

Provider details

NPI number
Authorized official
AMANI R GOBRAN MD (PRESIDENT)
(713) 455-7555
Entity
Organization

Contact information

Practice address
1140 WESTMONT DR STE 445, HOUSTON, TX 77015
(713) 455-7555
(713) 455-7771
Mailing address
1140 WESTMONT DR STE 445, HOUSTON, TX 77015-4368
(713) 455-7555
(713) 455-7771

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
040006005
RAIL ROAD MEDICARE
TX
05
083125701
TX
01
389996
WELLCARE
TX
01
83T881
BCBS
TX
Enumeration date
03/13/2007
Last updated
01/26/2021
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